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THE USE OF ULTRASOUND TO ASSIST DEPLOYMENT OF THE STARCLOSE(TM) VASCULAR CLOSURE DEVICE
Author(s) -
Puckridge P. J.,
Spark I.,
Thompson W.
Publication year - 2009
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.04935_14.x
Subject(s) - medicine , software deployment , ultrasound , complication , reduction (mathematics) , radiology , surgery , biomedical engineering , engineering , software engineering , mathematics , geometry
Purpose: Arterial access site complications have not been reduced by the introduction of vascular closure devices. An ultrasound guided technique for the StarClose(tm) device was introduced in an attempt to reduce complications. Methodology: A prospectively collected series of 197 consecutive StarClose deployments using standard and ultrasound guided techniques of deployment were studied from the Repatriation General Hospital. Outcomes with regards to complication and failure rates were collected and analysed. Results: 39.6% were deployed using an ultrasound guided technique and 60.1% with standard deployment. There was a significant reduction in failure rates (p < 0.05) with use of ultrasound guidance and a reduction in complications that did not reach significance (p = 0.23). Conclusion: The introduction of an ultrasound guided technique of deployment can significantly reduce failure rates with the StarClose device and may reduce complications.