-
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
-
References:
-
J Vasc Access. 2016 May 7;17(3):256-60. (PMID: 27032454)
Cathet Cardiovasc Diagn. 1997 Mar;40(3):297-300. (PMID: 9062728)
Cardiovasc Revasc Med. 2018 Dec;19(8):934-938. (PMID: 30243962)
Catheter Cardiovasc Interv. 2012 Jan 1;79(1):78-81. (PMID: 21584923)
J Invasive Cardiol. 2018 Sep;30(9):334-340. (PMID: 30158324)
Catheter Cardiovasc Interv. 2008 Sep 1;72(3):335-340. (PMID: 18726956)
J Vasc Interv Radiol. 2018 Jan;29(1):38-43. (PMID: 29150395)
Catheter Cardiovasc Interv. 2010 Nov 1;76(5):660-7. (PMID: 20506228)
JACC Cardiovasc Interv. 2018 Jun 11;11(11):1050-1058. (PMID: 29880098)
J Invasive Cardiol. 2009 Mar;21(3):101-4. (PMID: 19258639)
J Vasc Interv Radiol. 2017 Sep;28(9):1234-1239. (PMID: 28757286)
J Vasc Surg. 2014 Aug;60(2):375-81. (PMID: 24650744)
Lancet. 2011 Apr 23;377(9775):1409-20. (PMID: 21470671)
J Vasc Interv Radiol. 2016 Feb;27(2):159-66. (PMID: 26706186)
J Interv Cardiol. 2016 Aug;29(4):424-30. (PMID: 27356488)
J Invasive Cardiol. 2015 Feb;27(2):106-12. (PMID: 25661763)
J Vasc Interv Radiol. 2019 Mar;30(3):414-420. (PMID: 30819485)
Catheter Cardiovasc Interv. 2015 Apr;85(5):818-25. (PMID: 25179153)
JACC Cardiovasc Interv. 2016 Jul 25;9(14):1419-34. (PMID: 27372195)
Catheter Cardiovasc Interv. 2007 Aug 1;70(2):185-9. (PMID: 17203470)
J Am Coll Cardiol. 1998 Sep;32(3):572-6. (PMID: 9741495)
J Am Coll Cardiol. 2012 Dec 18;60(24):2481-9. (PMID: 22858390)
J Invasive Cardiol. 2015 Apr;27(4):218-21. (PMID: 25840406)
JACC Cardiovasc Interv. 2012 Jan;5(1):36-43. (PMID: 22230148)
Cardiovasc Intervent Radiol. 2019 Mar;42(3):441-447. (PMID: 30374611)
J Endovasc Ther. 2003 Jun;10(3):614-8. (PMID: 12932176)
Clin Res Cardiol. 2010 Dec;99(12):841-7. (PMID: 20625752)
J Invasive Cardiol. 2020 Jan;32(1):6-11. (PMID: 31893502)
Am J Cardiol. 1999 Jan 15;83(2):180-6. (PMID: 10073818)
-
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
-
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.