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Comparison of TR Band™ and VasoStat™ Hemostasis Devices following Transpedal Catheterization for Lower Extremity Revascularization for Peripheral Arterial Disease.
Kwan, Tak W; Patel, Apurva; Parikh, Roosha; Auguste, Uschi; Rosero, Hugo; Huang, Yili; Liou, Michael; Ratcliffe, Justin; Puma, Joseph.
Afiliación
  • Kwan TW; Chinatown Cardiology, P.C., New York, New York.
  • Patel A; Mount Sinai Beth Israel, New York, New York.
  • Parikh R; Mount Sinai Beth Israel, New York, New York.
  • Auguste U; Mount Sinai Beth Israel, New York, New York.
  • Rosero H; Mount Sinai Beth Israel, New York, New York.
  • Huang Y; Mount Sinai Beth Israel, New York, New York.
  • Liou M; Chinatown Cardiology, P.C., New York, New York.
  • Ratcliffe J; Mount Sinai Beth Israel, New York, New York.
  • Puma J; Chinatown Cardiology, P.C., New York, New York.
J Interv Cardiol ; 29(4): 424-30, 2016 Aug.
Article en En | MEDLINE | ID: mdl-27356488
BACKGROUND: Transpedal access is increasingly utilized for peripheral vascular catheterization. There is a paucity of data on the use of radial hemostasis devices as an alternative to manual compression for achievement of hemostasis after this approach. OBJECTIVE: To compare safety and efficacy of two hemostasis devices following transpedal catheterization for lower extremity revascularization for peripheral arterial disease. METHODS: A consecutive cohort of patients with bilateral Rutherford 2-5 disease who underwent transpedal catheterization for peripheral vascular interventions were retrospectively analyzed. In each patient, retrograde tibial artery access was obtained, a 4 French sheath was placed, and all revascularization was performed via tibial access. In all patients, a TR Band™ (Terumo Medical, n = 215) and/or VasoStat™ (Forge Medical, n = 99) were used to apply puncture site compression, following removal of the tibial sheath until hemostasis was achieved. Safety and efficacy of each device was compared. RESULTS: Puncture site hemostasis was achieved in all patients within 2 hours of sheath removal facilitating early discharge. Two access site pseudoaneurysms occurred within 30 days of revascularization, one of which followed TR Band™ placement and the other following VasoStat™ placement (P = 0.53). Each patient was successfully treated with ultrasound-guided thrombin injection. Loss of access site patency by duplex ultrasound occurred in 2 patients following the TR Band™ and a single patient following the VasoStat™ (P = 1.0). CONCLUSION: Both the TR Band™ and the VasoStat™ were effective in achieving hemostasis following transpedal catheterization with low rates of complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Cateterismo Periférico / Técnicas Hemostáticas / Arterias Tibiales / Aneurisma Falso / Enfermedad Arterial Periférica / Hemostasis Quirúrgica Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: J Interv Cardiol Asunto de la revista: CARDIOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Cateterismo Periférico / Técnicas Hemostáticas / Arterias Tibiales / Aneurisma Falso / Enfermedad Arterial Periférica / Hemostasis Quirúrgica Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: J Interv Cardiol Asunto de la revista: CARDIOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos