Femoral Artery Closure Devices vs Manual Compression During Cardiac Catheterization and Percutaneous Coronary Intervention

dc.contributor.authorKreutz, Rolf P.
dc.contributor.authorPhookan, Sujoy
dc.contributor.authorBahrami, Hamid
dc.contributor.authorSinha, Anjan K.
dc.contributor.authorBreall, Jeffrey A.
dc.contributor.authorRevtyak, George E.
dc.contributor.authorEphrem, Georges
dc.contributor.authorZenisek, Joseph R.
dc.contributor.authorFrick, Kyle A.
dc.contributor.authorJaradat, Ziad A.
dc.contributor.authorAbu Romeh, Ibrahim S.
dc.contributor.authorO’Leary, Brian A.
dc.contributor.authorAnsari, Hamza Z.
dc.contributor.authorFerguson, Andrew D.
dc.contributor.authorZawacki, Kevin E.
dc.contributor.authorHoque, Mohammad Z.
dc.contributor.authorIqtidar, Ali F.
dc.contributor.authorLambert, Nathan D.
dc.contributor.authorvon der Lohe, Elisabeth
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2024-10-17T13:01:43Z
dc.date.available2024-10-17T13:01:43Z
dc.date.issued2022-06-29
dc.description.abstractBackground: Femoral arterial access remains widely used despite recent increase in radial access for cardiac catheterization and percutaneous coronary intervention (PCI). Various femoral artery closure devices have been developed and are commonly used to shorten vascular closure times, with variable rates of vascular complications observed in clinical trials. We sought to examine the rates of contemporary outcomes during diagnostic catheterization and PCI with the most common femoral artery closure devices. Methods: We identified patients who had undergone either diagnostic catheterization alone (n = 14,401) or PCI (n = 11,712) through femoral artery access in the Indiana University Health Multicenter Cardiac Cath registry. We compared outcomes according to closure type: manual compression, Angio-Seal, Perclose, or Mynx. Access complications and bleeding outcomes were measured according to National Cardiovascular Data ​Registry standard definitions. Results: The use of any vascular closure device as compared to manual femoral arterial access hold was associated with a significant reduction in vascular access complications and bleeding events in patients who underwent PCI. No significant difference in access-site complications was observed for diagnostic catheterization alone. Among closure devices, Perclose and Angio-Seal had a lower rate of hematoma than Mynx. Conclusions: The use of femoral artery access closure devices is associated with a reduction in vascular access complication rates as compared to manual femoral artery compression in patients who undergo PCI.
dc.eprint.versionFinal published version
dc.identifier.citationKreutz RP, Phookan S, Bahrami H, et al. Femoral Artery Closure Devices vs Manual Compression During Cardiac Catheterization and Percutaneous Coronary Intervention. J Soc Cardiovasc Angiogr Interv. 2022;1(5):100370. Published 2022 Jun 29. doi:10.1016/j.jscai.2022.100370
dc.identifier.urihttps://hdl.handle.net/1805/44039
dc.language.isoen_US
dc.publisherElsevier
dc.relation.isversionof10.1016/j.jscai.2022.100370
dc.relation.journalJournal of the Society for Cardiovascular Angiography & Interventions
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourcePMC
dc.subjectBleeding
dc.subjectCardiac catheterization
dc.subjectPercutaneous coronary intervention
dc.titleFemoral Artery Closure Devices vs Manual Compression During Cardiac Catheterization and Percutaneous Coronary Intervention
dc.typeArticle
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