Transfemoral catheterization: mechanical versus manual control of bleeding.

Abstract

This study compared hand-held arterial compression with compression by a mechanical clamp to achieve hemostasis following transfemoral catheterization in 3,255 patients from six different hospitals. The time spent in manual compression of the artery averaged 33.5 minutes compared with 19.9 minutes using the clamp. The incidence of hematoma formation using the manual method was 6%; it was 2% using the mechanical device. No ischemic symptoms or complications resulted from the use of the holding device. The results suggest that the mechanical method is an effective and time-saving alternative to manual compression for control of bleeding after transfemoral catheterization.

Postinterventional percutaneous closure of femoral artery access sites using the Clo-Sur PAD device: initial findings

“…With regard to the safety of the system, the results presented in this study clearly indicate lower complication rates than those reported in previous studies using conventional compression or collagen-based sealing devices [5,9,10,17]. Another advantage to this hemostatic system is that it is possible to switch to conventional compression techniques at any time during the application process to avoid major bleeding complications in case of incomplete hemostasis.…”

“…Mechanical or manual compression techniques are not only a source of patient discomfort but represent a potential risk of puncture-site-related complications, such as bleeding, development of large hematoma, and pseudoaneurysms. This is of particular concern after employment of large sheaths and/or aggressive anticoagulation therapy [1,2,5,[17][18][19]. Furthermore, it has been proposed that applying mechanical or manual compression in patients with severe peripheral arterial occlusive disease may be critical due to considerably reduced blood flow during compression.…”

Early sheath removal after percutaneous coronary intervention using Assiut Femoral Compression Device is feasible and safe. Results of a randomized controlled trial

“…14-16 Several devices have been developed to aid in the closure of the femoral arteriotomy, including, extravascular plug devices (VasoSeal, AngioSeal, ExoSeal), 10,17 percutaneous suture closure devices (Perclose, StarClose), 18 and mechanical compression devices. [19][20][21][22][23] Mechanical compression devices most commonly used are the C-clamp or Compressor (Advanced Vascular Dynamics, Portland, OR) and pneumatic Femostop device (Radi Medical Systems, Uppsala, Sweden). All these devices including our AFCD provide the application of constant pressure while maintaining limb perfusion monitored by only one nurse and free up the operator.…”

“…The C-clamp and Femostop devices were compared to MC in a number of studies, [19][20][21]23 which generally reported equal efficacy with no significant differences regarding femoral vascular complication rates.…”

Prospective Comparison of Angio-Seal versus Manual Compression for Hemostasis after Neurointerventional Procedures under Systemic Heparinization

“…In a study of control of bleeding after transfemoral catheterization, the mean time to hemostasis with manual compression was 33.5 minutes in a multicenter trial. 19 For the manual compression group in our study, the mean time to hemostasis was 44.7 minutes, but we found that it was necessary to use the Clo-Sur PAD in 42 patients (60%), when the time of hemostasis was Ͼ30 minutes. Therefore the actual hemostasis time in our study would have been longer if only manual compression had been used.…”