Patient tolerance and resource utilization associated with an arterial closure versus an external compression device after percutaneous coronary intervention

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Craig P JuergensAndrew P Hopkins

Abstract

We assessed patient tolerance and resource utilization of using the AngioSeal closure device versus assisted manual compression using the Femostop device after percutaneous coronary intervention (PCI). Patients undergoing PCI with clean arterial access and no procedural hematoma were randomized to receive the AngioSeal or Femostop device to achieve femoral arterial hemostasis. Times from procedure end to removal from angiography table, hemostasis, ambulation, and hospital discharge were recorded. Bedside nursing/medical officer care time, vascular complications, and disposable use were also documented. Patient comfort was assessed using Present Pain Intensity and Visual Analogue scales at baseline, 4 hr, 8 hr, and the morning after the procedure. One hundred twenty-two patients were enrolled (62 AngioSeal, 60 Femostop). Patients in the AngioSeal group took longer to be removed from the angiography table (11 +/- 4 vs. 9 +/- 3 min; P = 0.002) compared with the Femostop group. Time to hemostasis (0.4 +/- 1.1 vs. 6.4 +/- 1.7 hr; P < 0.001) and ambulation (17 +/- 8 vs. 22 +/- 13 hr; P = 0.004) were less in the AngioSeal group, although time to discharge was not different. Nursing and medical officer time was no different. Disposable...Continue Reading

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Citations

Jun 26, 2007·Cardiovascular and Interventional Radiology·Atique ImamRaman Uberoi
Apr 17, 2008·Cardiovascular and Interventional Radiology·Clare Louise BentMatthew Matson
Apr 12, 2011·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Emilia StegemannThomas Lauer
Jun 22, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Steven KerréMarc J Claeys
May 3, 2006·Journal of Interventional Cardiology·Ulrich StockChristian Butter
May 4, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tadashi WaragaiLee Benson
May 5, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Josef KlockerGustav Fraedrich
Nov 26, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Omran AmerIngo Eitel
Mar 14, 2007·The American Journal of Cardiology·Frederic S ResnicMatthew R Reynolds
May 28, 2015·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Ramesh GrandhiBrian Jankowitz
Mar 8, 2016·The Cochrane Database of Systematic Reviews·Lindsay RobertsonRalph Jackson
Jan 17, 2012·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Minho Kang, Sung Wook Shin
Mar 23, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Steven J FowlerMorton Kern
Mar 1, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J H H DeulingF Zijlstra
Oct 7, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Craig P JuergensAndrew P Hopkins

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