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Groin complications associated with collagen plug closure of femoral arterial puncture sites in anticoagulated patients.
- Source :
-
Catheterization and cardiovascular diagnosis [Cathet Cardiovasc Diagn] 1998 Feb; Vol. 43 (2), pp. 124-9. - Publication Year :
- 1998
-
Abstract
- A retrospective study was conducted to determine the frequency and nature of groin complications when the Vasoseal (Datascope Corp., NJ) hemostasis device was used on 204 occasions to enable removal of the groin sheath in anticoagulated patients. The patients had undergone balloon angioplasty (53%), coronary stenting (20%), and diagnostic angiography (27%). Complications included vascular surgery in 5% including 2 embolized collagen plugs, failure to achieve hemostasis (2%), late external bleeding (2%), purulent discharge (1.5%), a minor ooze of blood (7%), hematomas >6 cm (6%), and hematomas < or = 6 cm (7%). One or more complications occurred with 64 of 204 (30.5%) uses. Multivariate analysis identified diagnostic angiography to be associated with a reduced risk of complications [odds ratio (OR) 0.25], while stent procedure (OR 2.7) and female gender (OR 2.5) were associated with increased risk. This complication rate is similar to other reported series except for a higher rate of vascular surgery. The high incidence of anticoagulation in our study patients (94%) may explain this difference. We recommend caution and adherence to the recommended technique when the device is used in anticoagulated patients.
- Subjects :
- Aged
Angioplasty, Balloon, Coronary adverse effects
Coronary Angiography
Female
Groin blood supply
Hematoma etiology
Hemorrhage chemically induced
Hemorrhage etiology
Hemorrhage therapy
Hemostatic Techniques instrumentation
Humans
Male
Middle Aged
Multivariate Analysis
Retrospective Studies
Risk Factors
Vascular Surgical Procedures
Anticoagulants therapeutic use
Catheterization, Peripheral adverse effects
Collagen administration & dosage
Femoral Artery
Hemostatic Techniques adverse effects
Punctures adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 0098-6569
- Volume :
- 43
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Catheterization and cardiovascular diagnosis
- Publication Type :
- Academic Journal
- Accession number :
- 9488539
- Full Text :
- https://doi.org/10.1002/(sici)1097-0304(199802)43:2<124::aid-ccd2>3.0.co;2-c