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Procedure-Related Complication Rates With the Use of Vascular Closure Devices; Does Size Only Matter? A Large Single Centre Retrospective Study.
Sethi, Sifut; Michalski, Jakub; Moh'd Elayyan Al-Shboul, Rand; Carey, Frank; Tan, Kelvin; Ali, Tariq.
Afiliación
  • Sethi S; Interventional Radiology Unit, Norfolk and Norwich University Hospitals, Norwich, UK.
  • Michalski J; Interventional Radiology Unit, Norfolk and Norwich University Hospitals, Norwich, UK.
  • Moh'd Elayyan Al-Shboul R; Interventional Radiology Unit, Norfolk and Norwich University Hospitals, Norwich, UK.
  • Carey F; Interventional Radiology Unit, Norfolk and Norwich University Hospitals, Norwich, UK.
  • Tan K; Interventional Radiology Unit, Norfolk and Norwich University Hospitals, Norwich, UK.
  • Ali T; Interventional Radiology Unit, Norfolk and Norwich University Hospitals, Norwich, UK.
Vasc Endovascular Surg ; : 15385744241276688, 2024 Aug 22.
Article en En | MEDLINE | ID: mdl-39172918
ABSTRACT

INTRODUCTION:

Our retrospective study aimed at assessing safety of vascular closure devices (VCDs) used in a large single-centre Interventional Radiology (IR) department. Complication and deployment failure rates using collagen-based (Angio-seal) and suture-based (ProGlide) devices for common femoral artery haemostasis were compared. MATERIALS AND

METHODS:

Data from VCDs deployed over a 6-year period were retrospectively analysed for patient age, procedure indication, puncture mode (antegrade/retrograde), sheath size, deployment failure and complications (haematoma, pseudoaneurysm formation, limb occlusion). Numerical and statistical analysis was undertaken.

RESULTS:

Overall, 1321 common femoral artery punctures in 1217 patients were closed using VCDs. Failure rate using ProGlide was significantly higher when compared with Angio-seal (P=<0.001) in sheath sizes ≤8 Fr. Heparin was not administered in embolisation procedures compared with angioplasty with or without stenting. Therefore, haematoma tended to occur more frequently following angioplasty without stenting (P = 0.003) and angioplasty with stenting (P = 0.001), when compared with embolisation. Deployment failure occurred more frequently when heparin was used during the procedure (P = 0.005).

CONCLUSION:

Although complications relating to sheath size are well established in the literature, there remains a paucity of data assessing the impact of procedure specific factors when comparing VCDs. Our study challenges that size is the sole determinant of VCD success and invites a more holistic view of VCD deployment strategies. This study advocates continued research into the nuances of other potential confounding variables to optimise patient outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vasc Endovascular Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vasc Endovascular Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos