Comparison of Collagen-Based Vascular Closure Devices in Patients With vs. Without Severe Peripheral Artery Disease

Kara, Kaffer; Kahlert, P; Mahabadi, Amir A.; Plicht, Björn; Lind, Alexander; Longwitz, Detlev; Bollow, Matthias; Erbel, Raimund

doi:10.1583/13-4401mr.1

Cited by 15 publications

(12 citation statements)

References 31 publications

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“…13 In our prospective study, we report comparable complication rates using collagen-based VCDs in patients with PAD when compared to VCDs in patients with coronary artery disease. In another series, major and minor complication rates were 1.7 and 6.7%, respectively, after the utilization of a collagen-based VCDs in patients with PAD 16 compared with 0 and 6.6% in our series. These results are comparable to those with CAD.…”

Section: Discussioncontrasting

confidence: 48%

Comparison of Angioseal and Manual Compression in Patients Undergoing Transfemoral Coronary and Peripheral Vascular Interventional Procedures

Alshehri

Elsharawy

2015

Int J Angiol

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Vascular closure devices (VCDs) were introduced in the early 1990s with the goal of limiting the time, labor, bed rest, and patient discomfort associated with manual compression (MC) for hemostasis after cardiovascular interventions. However, its advantage over MC has not been extensively studied after interventional procedures. The aim of this study was to do prospective, randomized study comparing the safety and efficacy of the Angio-Seal (AS) to that of MC in patients undergoing transfemoral coronary and peripheral vascular interventional procedure. A prospective, randomized trial was undertaken on consecutive series of patients admitted to King Fahd Hospital of the University for transfemoral coronary and peripheral vascular interventional procedures over 1 year. The study was designed to compare the hemostasis time in minutes and the incidence of vascular complications in patients receiving AS with those undergoing MC. All patients were on antiplatelets and received heparin during the procedure. During the study period, 160 patients were included, 80 in each group. There was a significant difference in mean time to hemostasis in minutes (15.83 ± 1.63 minutes for MC and 0.42 ± 0.04 minutes for the AS; p < 0.001), time to ambulation in minutes (280 ± 15 for MC and 120 for AS; p = 0.04) and in minor complications (33.8% in MC vs. AS 5%; p < 0.001). However, the major complication rate did not significantly differ between the two groups (0% in AS vs. 2.5% in MC; p = 0.15). AS was found to achieve rapid closure of the femoral access site safely in patients undergoing coronary and peripheral vascular interventional procedures under antiplatelets and systemic heparinization.

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Section: Discussioncontrasting

confidence: 48%

Comparison of Angioseal and Manual Compression in Patients Undergoing Transfemoral Coronary and Peripheral Vascular Interventional Procedures

Alshehri

Elsharawy

2015

Int J Angiol

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“…Their position change did not induce complications such as bleeding and hematoma in the femoral artery puncture area, but femoral arterial catheterization and the administration of an anticoagulant to prevent blood clotting could cause vascular complications such as bleeding, hematoma, and false aneurysm in the femoral arterial puncture site8, 10,11,12 ) . According to clinical guidelines13 ) , patients are moved to the ward with their catheters intact from the pathology laboratory to prevent bleeding or hematoma development.…”

Section: Introductionmentioning

confidence: 99%

Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study

Hyun

Sok

2016

J Phys Ther Sci

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[Purpose] This study sought to examine the effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention. [Subjects and Methods] The participants consisted of 48 patients (experimental: n=24, control: n=24) who underwent invasive coronary intervention (Percutaneous Coronary Intervention) in K hospital, Seoul, Korea. A randomized controlled trial design was used. Position changes as the experimental treatment were sequenced as follows: supine position for one hour after removal of the catheter; 30-degree bed-elevated lateral position for one hour; 30-degree bed elevation for one hour; and finally 30-degree bed-elevated lateral position for one hour. The thirty degree bed-elevated lateral position was intended to press on the surgical site. Measures used were the general characteristics form, Visual Analogue Scale for lumbar pain, and discomfort scale. [Results] There were significant differences on lumbar pain and discomfort of Korean patients after invasive coronary intervention between the experimental and control groups. [Conclusion] Position change was an effective intervention for decreasing lumbar pain and discomfort of Korean patients after invasive coronary intervention. Health professionals need to consider an array of methods including position change for patients after invasive coronary intervention.

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“…It should be noted that the authors did not evaluate for disease at the access site. 17 Thus, these data do not alter our use of MC for hemostasis in these situations.…”

Section: Operators' Experiencementioning

confidence: 80%

Vascular Closure Devices: Technical Tips, Complications, and Management

Krishnasamy

Hagar

Scher

et al. 2015

Techniques in Vascular and Interventional Radiology

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Comparison of Collagen-Based Vascular Closure Devices in Patients With vs. Without Severe Peripheral Artery Disease

Cited by 15 publications

References 31 publications

Comparison of Angioseal and Manual Compression in Patients Undergoing Transfemoral Coronary and Peripheral Vascular Interventional Procedures

Comparison of Angioseal and Manual Compression in Patients Undergoing Transfemoral Coronary and Peripheral Vascular Interventional Procedures

Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study

Vascular Closure Devices: Technical Tips, Complications, and Management

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