The efficacy and safety of angio-seal percutaneous femoral artery closure device after diagnostic and therapeutic cardiac catheterizations - A single center's experience

Cheng Han Lee, Shu Fen Hung, Ju Yi Chen, Ting Hsin Chao, Yi Heng Li, Li Jen Lin, Liang Miin Tsai

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: The purpose of this study was to evaluate the safety and efficacy of a hemostatic puncture closure device (Angio-Seal Vascular Closure Device) in patients undergoing diagnostic and therapeutic cardiac catheterizations. Methods: All consecutive patients (n = 102) who received a hemostatic puncture closure device from January 2007 to May 2007 in the National Cheng Kung University Hospital were enrolled in the study. Of these, 45 (44%) patients received therapeutic cardiac catheterizations. Multivariate logistic regression analyses were used to determine the predictors of vascular complications. Results: Of 102 patients, there were 68 (67%) males, and the mean age was 67 ± 11 years. All devices were deployed successfully, and device dysfunction occurred in only one patient (0.98%), in whom successful hemostasis was achieved later by manual and sandbag compression. There were 17 patients (16.7%) with small hematoma (≦ 6 cm in diameter) and three (2.9%) with large hematoma after the procedure. Compared with patients in the diagnostic group, patients in the therapeutic group had insignificantly higher complications of large hematoma (n = 3) (6.7% vs 0%, p = 0.08). However, no patients developed pseudoaneurysms, arteriovenous fistulae, and late bleeding in need of vascular repairs and blood transfusion until 7 to 14 days after discharge in both groups. Using multivariate logistic regression method, older age (≧ 75 years) was the only risk factor for developing large hematoma. Conclusion: Angio-Seal device offers a safe and effective hemostasis of the femoral artery in patients undergoing diagnostic and therapeutic cardiac catheterizations with acceptable morbidity rates.

Original languageEnglish
Pages (from-to)247-253
Number of pages7
JournalActa Cardiologica Sinica
Volume23
Issue number4
Publication statusPublished - 2007 Dec 1

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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