Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access

Roman Machnik; Piotr Pieniążek; Piotr Musiałek; Tadeusz Przewłocki; Łukasz Tekieli; Mariusz Trystuła; Andrzej Brzychczy; Karolina Dzierwa; Piotr Paluszek; Krzysztof Żmudka; Piotr Podolec

doi:10.5114/pwki.2012.27918

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access

Roman Machnik

,

Piotr Pieniążek

,

Piotr Musiałek

,

Tadeusz Przewłocki

,

Łukasz Tekieli

,

Mariusz Trystuła

,

Andrzej Brzychczy

,

Karolina Dzierwa

,

Piotr Paluszek

,

Krzysztof Żmudka

,

Piotr Podolec

Post Kardiol Interw 2012; 8, 1 (27): 1–7

DOI: https://doi.org/10.5114/pwki.2012.27918

Online publish date: 2012/04/12

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AMA

Machnik R, Pieniążek P, Musiałek P, et al. Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2012;8(1):1-7. doi:10.5114/pwki.2012.27918.

APA

Machnik, R., Pieniążek, P., Musiałek, P., Przewłocki, T., Tekieli, Ł.,  & Trystuła, M. et al. (2012). Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 8(1), 1-7. https://doi.org/10.5114/pwki.2012.27918

Chicago

Machnik, Roman, Piotr Pieniążek, Piotr Musiałek, Tadeusz Przewłocki, Łukasz Tekieli, Mariusz Trystuła,  and Andrzej Brzychczy et al. 2012. "Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 8 (1): 1-7. doi:10.5114/pwki.2012.27918.

Harvard

Machnik, R., Pieniążek, P., Musiałek, P., Przewłocki, T., Tekieli, Ł., Trystuła, M., Brzychczy, A., Dzierwa, K., Paluszek, P., Żmudka, K.,  and Podolec, P. (2012). Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 8(1), pp.1-7. https://doi.org/10.5114/pwki.2012.27918

MLA

Machnik, Roman et al. "Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 8, no. 1, 2012, pp. 1-7. doi:10.5114/pwki.2012.27918.

Vancouver

Machnik R, Pieniążek P, Musiałek P, Przewłocki T, Tekieli Ł, Trystuła M et al. Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2012;8(1):1-7. doi:10.5114/pwki.2012.27918.

Background: Complications related to the femoral access substantially contribute to peri-procedural morbidity and mortality.

Aim: To evaluate whether the use of a collagen plug as a vascular access closure device (AngioSeal^®, AS) influences complications related to the femoral access and duration of hospitalization for peripheral endovascular interventions.

Material and methods: Two hundred and one consecutive patients (59.2% male, age 48-87 years) undergoing angioplasty/stenting of the internal carotid, common carotid, vertebral, subclavian, renal, iliac/femoral, innominate artery or cervical-subclavian bypass were randomized (1 : 1 ratio) prior to the intervention to standard manual compression (MC) or AS (6 F or 8 F device used for femoral access with 6-7 F or 8-9 F sheaths respectively).

Results: Manual compression was used in 110 patients and AS in 91 patients. There was no difference in the use of 8-9 F and 6-7 F sheats between the two per treatment groups (72.5% vs. 73.6% and 27.5% vs. 26.2%, respectively). Large subcutaneous haematoma, arteriovenous fistula, pseudoaneurysm or femoral artery occlusion requiring surgery occurred in 13.8% MC vs. 4.0% AS for 6-7 F sheaths (p = 0.36) and in 19.7% MC vs. 7.6% AS for 8-9 F sheaths (p = 0.035). Total access site complication rate was 18.2% for MC and 6.6% for AS (p = 0.019). Nine patients with AS (9.9%) required an additional compression dressing ( 12 h). Overall, AS patients were mobilized earlier (2.9 ±2.4 h vs. 14.2 ±2.8 h, p = 0.001) and discharged home earlier after the intervention (33.6 ±14.16 h vs. 68.1 ±34.08 h, p = 0.001).

Conclusions: The use of the AngioSeal^® device for femoral access closure during peripheral interventions (AngioSeal^® 8 F for 8-9 F sheath and AngioSeal^® 6 F for 6-7 F sheath) significantly reduces the access site complication rate and allows earlier patient mobilization and discharge from hospital.

keywords:

Control of local haemostasis with the AngioSeal® vascular closure device in peripheral endovascular interventions via 6-9 F femoral artery access

Roman Machnik , Piotr Pieniążek , Piotr Musiałek , Tadeusz Przewłocki , Łukasz Tekieli , Mariusz Trystuła , Andrzej Brzychczy , Karolina Dzierwa , Piotr Paluszek , Krzysztof Żmudka , Piotr Podolec

AngioSeal®, vascular closure device, vascular access complications, femoral closure device

Roman Machnik

,

Piotr Pieniążek

,

Piotr Musiałek

,

Tadeusz Przewłocki

,

Łukasz Tekieli

,

Mariusz Trystuła

,

Andrzej Brzychczy

,

Karolina Dzierwa

,

Piotr Paluszek

,

Krzysztof Żmudka

,

Piotr Podolec

AngioSeal^®, vascular closure device, vascular access complications, femoral closure device