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Use of suture‐mediated vascular closure devices for the management of femoral vein access after transcatheter procedures
Author(s) -
Shaw James A.,
Dewire Elizabeth,
Nugent Alan,
Eisenhauer Andrew C.
Publication year - 2004
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20190
Subject(s) - medicine , groin , hemostasis , surgery , femoral vein , fibrous joint , vascular closure device , venous access , complication , venous thrombosis , femoral artery , vein , thrombosis , catheter
Groin complications remain the most common complication of cardiac catheterization procedures. While the use of closure devices is increasing for arterial sheaths, venous sheaths tend to be removed and hemostasis achieved with manual compression. We report our experience using Perclose suture‐mediated vascular closure device to achieve hemostasis and early mobility in patients who have had venous access as part of their procedure. There were a total of 42 patients (21 males; average age, 63.5 years) studied. The majority of the patients had 7 Fr sheaths (24), with access sites of sheaths up to 14 Fr being closed with this technique. Two patients developed complications at the access site: one patient requiring rehospitalization for intravenous antibiotics because of late access site infection, and one patient with deep venous thrombosis and pulmonary emboli. We conclude that the use of the Perclose suture‐mediated closure device for closure of femoral venous access sites is feasible and should be considered especially in patients with larger venous sheaths and those at increased risk of groin complications. Catheter Cardiovasc Interv 2004;63:439–443. © 2004 Wiley‐Liss, Inc.