Percutaneous suture-mediated closure of femoral access sites deployed through the procedure sheath: Initial clinical experience with a novel vascular closure device
✍ Scribed by Holger Eggebrecht; Christoph Naber; Uta Woertgen; Sonia Ringe; Thomas F.M. Konorza; Axel Schmermund; Clemens von Birgelen; Michael Haude; Knut Kroeger; Raimund Erbel; Dietrich Baumgart
- Publisher
- John Wiley and Sons
- Year
- 2003
- Tongue
- English
- Weight
- 240 KB
- Volume
- 58
- Category
- Article
- ISSN
- 1522-1946
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✦ Synopsis
The objective of this study was to assess the initial safety and feasibility of a novel suture-mediated device for closure of femoral access sites immediately after diagnostic or interventional cardiac catheterization. In a prospective study, 150 patients (mean age, 61.5 years; 109 male) underwent femoral access closure with a novel suture closure device (Superstitch, Sutura) immediately after diagnostic (n = 106) or interventional (n = 44) catheterization procedures, independently of the coagulation status. All patients were monitored for 24 hr after the procedure. The closure device was successfully deployed in 92% of patients. Immediate hemostasis was achieved in 77% of patients with no differences between patients undergoing diagnostic catheterization or coronary interventions (79% vs. 73%; P = 0.659). After 2 min of additional light manual compression, hemostasis was achieved in 92% of patients. There was one major complication requiring vascular surgery (0.7%). The novel suture closure device is a safe and effective device that allows for immediate closure of femoral puncture sites after both diagnostic and interventional procedures with a low rate of major complications.