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Tytuł pozycji:

Nonfemoral Arterial Hemostasis Following Percutaneous Intervention Using a Focused Compression Device.

Tytuł:
Nonfemoral Arterial Hemostasis Following Percutaneous Intervention Using a Focused Compression Device.
Autorzy:
Barrette LX; Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Vance AZ; Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Shamimi-Noori S; Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Nadolski GP; Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Reddy S; Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Kratz KM; Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Redmond JW; Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Clark TWI; Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, 19104, USA. .
Źródło:
Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2020 May; Vol. 43 (5), pp. 714-720. Date of Electronic Publication: 2020 Feb 10.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: New York Ny : Springer Verlag
Original Publication: [Berlin, New York] Springer International.
MeSH Terms:
Intermittent Pneumatic Compression Devices*
Hemostasis/*physiology
Hemostatic Techniques/*instrumentation
Vascular Surgical Procedures/*methods
Female ; Humans ; Lower Extremity/blood supply ; Lower Extremity/surgery ; Male ; Middle Aged ; Time Factors ; Treatment Outcome ; Upper Extremity/blood supply ; Upper Extremity/surgery
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Contributed Indexing:
Keywords: Hemostasis device; Peripheral vascular intervention; Radial artery access
Entry Date(s):
Date Created: 20200212 Date Completed: 20201109 Latest Revision: 20210110
Update Code:
20240105
PubMed Central ID:
PMC7241965
DOI:
10.1007/s00270-020-02431-7
PMID:
32043200
Czasopismo naukowe
Purpose: Upper extremity and tibiopedal arterial access are increasingly used during endovascular therapies. Balloon compression hemostasis devices in these anatomic locations have been described, but most utilize a compression surface extending well beyond the puncture site. We report single-center experience with an arterial puncture-focused compression device following upper extremity and tibiopedal access.
Patients and Methods: A series of 249 focused compression hemostasis devices (VasoStat, Forge Medical, Bethlehem, Pennsylvania, USA) were used in 209 patients following lower extremity (n = 63) and upper extremity (n = 186; radial: 90%) arterial access procedures using 4-7 French sheaths. Demographic, operative, and follow-up data were collected. Logistic regression was used to evaluate potential association between patient/operative variables and time to hemostasis.
Results: Primary hemostasis was achieved in 97.2% (242/249) following sheath removal; in 7 cases (2.8%) puncture site oozing occurred after initial device removal and required reapplication. Secondary hemostasis was 100% (249/249). Seven complications (2.8%) were recorded: 5 minor hematomas (2%) and 2 transient access artery occlusions (0.8%). Mean time to hemostasis enabling device removal was 55 ± 28 min. Elevated body mass index (BMI) was not associated with increased time to hemostasis (p = 0.31). Accessed artery, sheath size, and heparin dose were also not associated with time to hemostasis (p = 0.64; p = 0.74; p = 0.75, respectively).
Conclusions: The focused compression hemostasis device enabled rapid hemostasis with a low complication rate. Time to hemostasis was independent of BMI, access site, sheath size, or heparin dose.

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