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The common femoral artery is one of the most common access routes for endovascular treatment. Manual compression has been the traditional mainstay for hemostasis of the femoral arteriotomy and remains the “gold standard” (1). However, various arterial closure devices (ACDs) have been developed, given the prolonged bed rest of patients following during manual compression. These devices utilize either a collagen plug or sutures to control bleeding (2-5). In contrast, mechanical compression devices (MCDs) have been designed to replace or assist with manual compression, and most available disposable devices (Femostop Gold, St. Jude Medical, St. Paul, MN, USA; Safeguard, Maquet, Rastatt, Germany; and GH-150, Kyung-Won Medical, Seoul, Korea) use a pneumatic system to deliver pressure (6-8). It is reasonable to assume that MCDs have a possible advantage over ACDs, as no foreign body is left in the body; therefore, repeated punctures may be tolerated more easily. In this study, the safety and hemostatic efficacy of a novel MCD, which utilizes directly applied pressure with a non-compliant disk (Xpress, Angiovention, Seoul, Korea), was analyzed retrospectively.

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