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Titolo:
10 years of vascular closure devices: a critical analysis of their usefulness after PTCA.
Autore:
Silber, S;
Indirizzi:
Herzkatheterlabor Klin Dr Muller, D-81379 Munich, Germany Herzkatheterlabor Klin Dr Muller Munich Germany D-81379 Munich, Germany
Titolo Testata:
ZEITSCHRIFT FUR KARDIOLOGIE
fascicolo: 5, volume: 89, anno: 2000,
pagine: 383 - 389
SICI:
0300-5860(200005)89:5<383:1YOVCD>2.0.ZU;2-T
Fonte:
ISI
Lingua:
GER
Soggetto:
ARTERIAL PUNCTURE SITES; TRANSLUMINAL CORONARY ANGIOPLASTY; COLLAGEN HEMOSTASIS DEVICE; SUTURE-MEDIATED CLOSURE; CARDIAC-CATHETERIZATION; RANDOMIZED TRIAL; FEMORAL-ARTERY; ACCESS SITES; PERCUTANEOUS SUTURE; MANUAL COMPRESSION;
Keywords:
closure devices; hemostasis; local complications; PTCA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
62
Recensione:
Indirizzi per estratti:
Indirizzo: Silber, S Herzkatheterlabor Klin Dr Muller, Isarkanal 36, D-81379 Munich, Germany Herzkatheterlabor Klin Dr Muller Isarkanal 36 Munich Germany D-81379
Citazione:
S. Silber, "10 years of vascular closure devices: a critical analysis of their usefulness after PTCA.", Z KARDIOL, 89(5), 2000, pp. 383-389

Abstract

With worldwide over 1 million applications, vascular closure devices have been established as an essential tool of invasive cardiology. This overviewcompares today's four commercially available closure devices, VasoSeal(R) (VS), Angio-Seal(TM) (AS), Perclose, Inc. (PC) and Duett(TM) (DU) for theirusefulness after corollary interventions. The published data regarding deployment success rates for VS, AS, PC and DU are in the range of 88%, 91%, 90% and 98% up to 100%, respectively. Times to hemostasis were 5-13', 2-4', 11-19' and 4-14', accompanied by times to mobilization of 6-9 h, 6-8 h, 4-7h and 2-6 h. Minor complications were described in 8%: 5.9%, 5.3% and 2.1%, major complications in 5.3%, 1.3%, 4% and 2.6%. Although none of the closure devices has been shown to reduce major local complications as compared to manual compression, all sealing devices have documented a significant reduction in time to hemostasis. The increased patient comfort is essentiallyrelated to the ability of sheath removal immediately after PTCA. Vascular closure devices reduce the burden of medical staff and decrease hospital costs by earlier discharge.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 23:19:54