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Titolo:
Suture closure of the femoral arteriotomy following invasive cardiac procedures: A detailed analysis of efficacy, complications, and the impact of early ambulation in 1,200 consecutive, unselected cases
Autore:
Fram, DB; Giri, S; Jamil, G; Mitchel, JF; Boden, WE; Din, S; Kiernan, FJ;
Indirizzi:
Univ Connecticut, Hartford Hosp, Div Cardiol, Hartford, CT USA Univ Connecticut Hartford CT USA ord Hosp, Div Cardiol, Hartford, CT USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 2, volume: 53, anno: 2001,
pagine: 163 - 173
SICI:
1522-1946(200106)53:2<163:SCOTFA>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERIPHERAL VASCULAR COMPLICATIONS; CORONARY ANGIOPLASTY; MEDIATED CLOSURE; RANDOMIZED TRIAL; MANUAL COMPRESSION; ACCESS SITE; CATHETERIZATION; DEVICE; INTERVENTIONS; HEMOSTASIS;
Keywords:
coronary angiography; coronary intervention; hemostasis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Fram, DB Hartford Hosp, Cardiac Lab, 80 Seymour St, Ishikari, Hokkaido 06102, Japan Hartford Hosp 80 Seymour St Ishikari Hokkaido Japan 06102 , Japan
Citazione:
D.B. Fram et al., "Suture closure of the femoral arteriotomy following invasive cardiac procedures: A detailed analysis of efficacy, complications, and the impact of early ambulation in 1,200 consecutive, unselected cases", CATHET C IN, 53(2), 2001, pp. 163-173

Abstract

The purpose of this study was to assess the efficacy and safety of using apercutaneous suture device to close femoral arteriotomies following invasive cardiac procedures. All patients presenting for invasive cardiac procedures performed from the femoral artery were considered for suture closure. Patients were carefully assessed for access site complications, oozing, and the impact of suture closure on the safety of early ambulation. Clinical follow-up at 3-6 months was performed to assess for late complications. Femoral artery suture closures were performed in 1,200 consecutive cases in 1,097 patients, In 12.8% of cases, the patients ambulated within 1 hr. The success rate was 91.2% and the complication rate was 3.4%. Complications included the development of a hematoma (2.1%), the need for vascular surgery (0.6%), retroperitoneal hemorrhage (0.3%), blood transfusion (0.7%), local infection (0.5%), and pseudoaneurysm formation (0.1%). Factors found to be independently predictive of procedural failure were an age > 70 years, an ACT >300 sec, left femoral artery access, and the performance of primary angioplasty. Follow-up at 3-6 months revealed no major hemorrhagic complications. We conclude that percutaneous suture closure effectively achieves femoral artery hemostasis in patients undergoing invasive cardiac procedures. The technique permits early ambulation and is associated with a relatively low incidence of complication. (C) 2001Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 18:38:48