Exoseal for puncture site closure after antegrade procedures in peripheral arterial disease patients

Hackl, Gerald; Tse, Gary; Belaj, Klara; Hafner, Franz; Rief, Peter; Deutschmann, Hannes; Brodmann, Marianne

doi:10.5152/dir.2014.14002

Cited by 14 publications

(11 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several other reports have similarly underscored the importance of percutaneous closure device in reducing puncture-site related complications, improved patient postprocedure discomfort, and early outpatient discharge to home. 13–16…”

Section: Discussionmentioning

confidence: 99%

Treatment outcomes and lessons learned from 5134 cases of outpatient office-based endovascular procedures in a vascular surgical practice

et al. 2016

View full text Add to dashboard Cite

Introduction The office-based endovascular facility has increased in number recently due in part to expedient patient experience. This study analyzed treatment outcomes of procedures performed in our office-based endovascular suite. Methods Treatment outcomes of 5134 consecutive procedures performed in our office-based endovascular suites from 2006 to 2013 were analyzed. Five sequential groups (group I-V) of 1000 consecutive interventions were compared with regard to technical success and treatment outcomes. Results Our patients included 2856 (56%) females and 2267 (44%) males. Procedures performed included diagnostic arteriogram, arterial interventions, venous interventions, dialysis access interventions, and venous catheter management, which were 1024 (19.9%), 1568 (30.6%), and 3073 (60.0%), 621(12.1%), and 354 (6.9%), respectively. The complication rates for group I, II, III, IV, and V were 3%, 1.5%, 1%, 1.1%, and 0.7%, respectively. The complication rate was higher in group I when compared to each of the remaining four groups ( p < 0.05). Nine patients (0.18%) died within the 30-day period following their procedures, and none were procedure related. Conclusions Endovascular procedure can be performed safely in an office-based facility with excellent outcomes. Lessons learned in establishing office-based endovascular suites with efforts to reduce procedural complications and optimize quality patient care are discussed.

show abstract

Section: Discussionmentioning

confidence: 99%

Treatment outcomes and lessons learned from 5134 cases of outpatient office-based endovascular procedures in a vascular surgical practice

et al. 2016

View full text Add to dashboard Cite

show abstract

“…In procedures that involved antiplatelet medicines, heparin, and tPA, our study has shown that the 7-F ExoSeal can be used safely and effectively for closure of femoral punctures made by 8-F or 9-F introducers. Previous studies 1 –8 on ExoSeal (Table 4) reported high procedure success and low complication rates for puncture sites made by 6-F or 7-F sheaths. Data from our study of large-caliber punctures are in line with these previous reports.…”

Section: Discussionmentioning

confidence: 90%

“…13 Therefore, it is suitable for repeated punctures and site closures. 4 There are some reports that describe off-label use of ExoSeal VCDs for antegrade puncture closure 3,6,8 or in arteries other than of the CFA. 14 However, there have been no reports of ExoSeal use for the closure of puncture sites made by large-caliber sheaths.…”

Section: Discussionmentioning

confidence: 99%

“…Several authors have reported the safety and efficacy of ExoSeal VCDs for the closure of puncture sites made by introducer sheaths of a diameter equivalent to that of the VCD. 1 –8 However, there have been no reports on the safety and efficacy of ExoSeal VCDs for puncture sites made by introducers ≥8-F in diameter. The purpose of this study was to evaluate the safety and efficacy of the 7-F ExoSeal for closure of femoral access sites made by 8- or 9-F introducers.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Suitability of a 7-F ExoSeal Vascular Closure Device for Femoral Artery Punctures Made by 8-F or 9-F Introducer Sheaths

et al. 2017

View full text Add to dashboard Cite

show abstract

“…There were no complications among these 5 cases. According to several other articles on the use of ExoSeal in antegrade femoral punctures, ExoSeal VCDs were found to be safe and effective, with high technical success rates and acceptable complication rates in antegrade procedures[ 9 - 11 , 16 , 17 ]. Another limitation was that we did not analyze the failure rate according to the operator’s learning curve because the ExoSeal was so easy to use.…”

Section: Discussionmentioning

confidence: 99%

Korean single-center experience with femoral access closure using the ExoSeal device

Han¹,

Kwon²,

Park³

2018

WJR

View full text Add to dashboard Cite

AIMTo report 17-mo experience of femoral artery puncture site closure during angiographic procedures using ExoSeal vascular closure devices (VCDs).METHODSBetween November 2015 and April 2017, we performed 179 diagnostic and interventional angiographic procedures via a common femoral arterial access. The ExoSeal VCD was used at the puncture site to achieve hemostasis in 125 patients. We evaluated the technical and procedural success rates, the complications, and the factors affecting the hemostasis time of the ExoSeal VCDs.RESULTSTechnical and procedural successes were achieved in 176 cases (98.0%) and 128 cases (71.5%), respectively. Device failure occurred in 3 (1.7%) cases. In 1 case (0.6%) a small hematoma developed, but there were no major complications. Among the hemostasis-relevant variables, a history of drinking alcohol, low platelet (PLT) count, and high prothrombin time-international normalized ratio (commonly known as PT-INR) values were the statistically significant predictors of the need for longer manual compression (MC). There was no difference in the success rates between the repeat and single ExoSeal procedure groups, and repeated use of the ExoSeal did not affect hemostasis time.CONCLUSIONThe ExoSeal VCD effectively achieves hemostasis, with few complications. Longer light MC may be needed with alcohol drinkers, low PLT count, and high PT-INR values.

show abstract

Exoseal for puncture site closure after antegrade procedures in peripheral arterial disease patients

Cited by 14 publications

References 27 publications

Treatment outcomes and lessons learned from 5134 cases of outpatient office-based endovascular procedures in a vascular surgical practice

Treatment outcomes and lessons learned from 5134 cases of outpatient office-based endovascular procedures in a vascular surgical practice

Suitability of a 7-F ExoSeal Vascular Closure Device for Femoral Artery Punctures Made by 8-F or 9-F Introducer Sheaths

Korean single-center experience with femoral access closure using the ExoSeal device

Contact Info

Product

Resources

About