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Titolo:
Postinterventional transcutaneous suture of femoral artery access sites inpatients with peripheral arterial occlusive disease: A study of 930 patients
Autore:
Balzer, JO; Scheinert, D; Diebold, T; Haufe, M; Vogl, TJ; Biamino, G;
Indirizzi:
Univ Frankfurt, Clin Frankfurt AM Main, Dept Diatnost & Intervent Radiol, D-60590 Frankfurt, Germany Univ Frankfurt Frankfurt Germany D-60590 iol, D-60590 Frankfurt, Germany Univ Hosp Erlangen Nuernberg, Dept Med Cardoil & Angiol, Erlangen, GermanyUniv Hosp Erlangen Nuernberg Erlangen Germany Angiol, Erlangen, Germany Ctr Cardiol & Vasc Intervent, Hamburg, Germany Ctr Cardiol & Vasc Intervent Hamburg Germany ntervent, Hamburg, Germany
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 2, volume: 53, anno: 2001,
pagine: 174 - 181
SICI:
1522-1946(200106)53:2<174:PTSOFA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSLUMINAL CORONARY ANGIOPLASTY; CARDIAC-CATHETERIZATION; MANUAL COMPRESSION; COLLAGEN PLUG; COMPLICATIONS; CLOSURE; HEMOSTASIS; DEVICE;
Keywords:
percutaneous suture; peripheral intervention; arterial occlusive disease; angioplasty; closure device;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Balzer, JO Univ Frankfurt, Clin Frankfurt AM Main, Dept Diatnost & Intervent Radiol, Theodor Stern Kai 7, D-60590 Frankfurt, Germany Univ Frankfurt Theodor Stern Kai 7 Frankfurt Germany D-60590 y
Citazione:
J.O. Balzer et al., "Postinterventional transcutaneous suture of femoral artery access sites inpatients with peripheral arterial occlusive disease: A study of 930 patients", CATHET C IN, 53(2), 2001, pp. 174-181

Abstract

The purpose of this study was to evaluate a percutaneous vascular suture (PVS) device in patients with peripheral arterial occlusive disease (PAOD) for achievement of immediate hemostasis at the vascular access site and early ambulation of fully anticoagulated patients after peripheral interventional procedures. From June 1995 to March 2000, a vascular suture using a PVS device (6-10 Fr) was applied in 930 patients with PAOD. All patients had received an endoluminal intervention in the pelvic and/or the contralateral femoropopliteal region via a retrograde access through the common femoral artery (CFA). The incidence of complications within 12 hr after intervention,prior to discharge, and at 30-day follow-up was assessed employing clinical examination, treadmill test, and color Doppler ultrasound and the safety of the PVS device was determined, The efficacy of the system was measured by the percentage of achieved immediate hemostasis and early ambulation. PVSwas technically successful in 92.2% independently from the degree of calcification at the access site. In 7.8%, an appropriate suture delivery could not be performed and these patients were successfully treated by conventional compression technique. Device malfunction or insufficient suture closureoccurred in 1.7% and 2.1%, respectively. In 7.0%, groin-related complications occurred. Ambulation within 2-4 hr after successful suture was possiblein 96.1%. All patients were free of any local symptoms at 30-day follow-up. The PVS device provides a safe and effective solution to achieve immediate hemostasis, thus permitting early ambulation in fully anticoagulated patients with PAOD after peripheral interventional procedures. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 03:33:24