Hemostatic Efficacy and Safety of a Novel Mechanical Compression Device for Femoral Arteriotomy

서지정보

· 발행기관 : 대한영상의학회
· 수록지 정보 : 대한영상의학회지 / 72권 / 5호 / 329 ~ 334페이지
· 저자명 : 황보리, 곽민규, 이승찬, 김창원

초록

Purpose: To evaluate the hemostatic efficacy and safety of a novel mechanical compression device for femoral arteriotomy.
Materials and Methods: We identified 290 patients who underwent vascular intervention with a novel mechanical compression device applied for femoral arteriotomy hemostasis without additional manual compression or other closing devices from October 2013 to January 2014. Among them, 251 patients with complete medical records were enrolled in the study. The immediate technical success and the delayed (4 hour) complication-free hemostasis rates were evaluated. All available clinically relevant information, including major and minor complications, was gathered. The clinical factors associated with the development of complications were analyzed.
Results: The immediate and delayed complication-free hemostasis rates were 99.6% (250/251) and 94.0% (236/251). The femoral arteriotomy of one patient with immediate hemostatic failure was compressed manually. No major complications were observed among the immediately successful patients. Fifteen patients developed minor complications. When patients who developed complications were compared to those without complications, the complication group was younger, received a larger vascular sheath, and had a shorter device application time.
Conclusion: This novel hemostatic compression device exhibited good hemostasis and low complication rates during femoral arteriotomy.

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