Access site complications following transfemoral coronary procedures: Comparison between traditional compression and angioseal vascular closure devices for haemostasis
Journal
BMC Cardiovascular Disorders
Journal Volume
15
Journal Volume
15
Journal Issue
1
Journal Issue
1
Start Page
34
ISSN
1471-2261
Date Issued
2015-05-09
Author(s)
Abstract
Background: Vascular closure devices such as angioseal are used as alternatives to traditional compression haemostasis. Although the safety and efficacy of angioseal are confirmed, their use remains controversial because of the potential complications of these devices compared with those of traditional compression haemostasis. The aim of this study was to compare the access site complication rate, the predictive factors for these complications, and patient comfort levels after coronary procedures with traditional compression or angioseal haemostasis. Methods: Data were collected from a cardiac unit in a medical center in northern Taiwan. A total of 130 adult patients were recruited and equally divided into two groups according to the method of haemostasis used after the coronary procedure: a traditional compression group and an angioseal group. We observed the incidence of access site complications, including bleeding, oozing, haematoma formation, and arteriovenous fistula formation. In addition, we used a 0-10 numeric rating scale to assess soreness, numbness, and back and groin access site pain after 1 h of catheter removal and immediately before getting out of bed. Results: The overall incidence of complications was 3.8 % (n = 5), which was not significantly different between the two groups (p = .06). The propensity score-adjusted multivariate analyses revealed that the only independent predictor for access site complications was an age of >70 years (OR, 10.44; 95 % CI, 1.81-60.06; p = .009). Comfort levels were higher in the angioseal group than in the traditional compression group. Conclusions: Angioseal used after coronary procedures did not increase the incidence of complications relative to that associated with traditional compression haemostasis; however, it increased patient comfort levels. Health personnel should pay special attention to the predictive factor for access site complications after coronary procedures, such as age >70 years. ? Wu et al.; licensee BioMed Central.
Subjects
Angioseal; Coronary procedures; Manual compression; Observation; Vascular closure device
SDGs
Other Subjects
adult; age distribution; aged; angioseal vascular closure device; arteriovenous fistula; Article; backache; bleeding; catheter removal; clinical effectiveness; compression bandage; device safety; female; hematoma; hemostasis; human; incidence; major clinical study; male; medical device complication; paresthesia; priority journal; stent; Taiwan; vascular access; vascular closure device; adverse effects; age; comparative study; femoral artery; heart catheterization; heart surgery; hemostatic technique; middle aged; postoperative hemorrhage; procedures; surgery; very elderly; Adult; Age Factors; Aged; Aged, 80 and over; Cardiac Catheterization; Cardiac Surgical Procedures; Compression Bandages; Female; Femoral Artery; Hemostatic Techniques; Humans; Male; Middle Aged; Postoperative Hemorrhage; Taiwan; Vascular Closure Devices
Publisher
BioMed Central Ltd.
Type
journal article