Neudecker, Annette and Manke, C. and Lenhart, M. and Zorger, N. and Paetzel, C. and Feuerbach, S. and Link, J. (2003) Evaluation of a hemostatic device with percutaneous collagen application (VasoSeal((R))) compared to a mechanical compression system (Compressar((R))) after transfemoral catheterization of patients suffering from arterial occlusive disease. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 175 (5). pp. 676-681. ISSN 1438-9029
Full text not available from this repository. (Request a copy)Abstract
Purpose: Comparison of the efficacy of VasoSeal(R) and a mechanical compression system (Compressar(R)) for percutaneous hemostasis after femoral arterial catheterization of patients with arterial occlusive disease. Materials and Methods: 60 patients underwent either diagnostic angiography or interventional procedures. The level of anticoagulation, blood pressure, and activation clotting time were recorded, and the time to hemostasis after sheath removal was measured. VasoSeal(R) application was considered "successful" if the compression time was less than two minutes. On the subsequent day as well as 4 months later, color coded Doppler ultrasound was performed to register treatment success and potential (late) complications. Results: 57 patients. qualified for inclusion in this study. in 21 of the 26 patients who underwent the procedure with the VasoSeal(R), immediate hemostasis was achieved within 1.75 minutes. In all 31 patients who had the Compressar(R) applied, hemostasis was successful with a mean compression time of 17.4 minutes. Thus, VasoSeal(R) significantly reduced hemostasis time irrespective of anticoagulation status, but it had a much higher incidence of minor local complications (bleeding, hematoma) compared to the control group (34.6 % vs. 5.8 %). The technical success was lower with VasoSeal(R) than with Compressar(R) (81 % vs. 100%). Both groups had no severe or late complications. Conclusion: According to our results, VasoSeal(R) does not provide a suitable alternative compared to the effective, safe and cheap application of Compressar(R) as a hemostatic device.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PUNCTURE CLOSURE DEVICE; PROSPECTIVE RANDOMIZED TRIAL; CARDIAC-CATHETERIZATION; MANUAL COMPRESSION; ACCESS SITE; CORONARY ANGIOPLASTY; PLUG; COMPLICATIONS; ANGIOGRAPHY; EFFICACY; hemostasis device; collagen; arterial occlusive disease; mechanical compression system; angiography; femoral catheterization |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 15 Sep 2021 05:16 |
| Last Modified: | 15 Sep 2021 05:16 |
| URI: | https://pred.uni-regensburg.de/id/eprint/39101 |
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