Analysis of predictive and preventive factors for access complications associated with vascular closure devices in complicated endovascular procedures
Yükleniyor...
Dosyalar
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer Japan
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: The main goal is to evaluate the effectiveness of angioseal and starclose vascular closure devices (VCDs) in high-risk patients under intensive anticoagulation who require therapeutic angiographic procedures and to discuss which factors are important in complications associated with VCDs. Materials and methods: Medical records of the patients who underwent therapeutic complex interventional vascular procedures were reviewed retrospectively. One hundred sixty-six patients were divided into two groups regarding VCDs used for access-site closure after the procedure: group 1, (angioseal); group 2, (starclose). Data including patients’ demographics and comorbidity information, procedural characteristics, and complications were analyzed. Results: The device deployment success rate was 100%. For the procedural characteristics, there was no significant difference between the groups except access site (P = 0.016) and sheath size > 6F (P = 0.0001). No major complications had occurred in none of the patients. Minor complications including hematoma, access-site pain, and access-site infection, except prolonged hemostasis did not differ significantly between groups. The patients’ demographic and periprocedural factors were not significantly correlated with the development of complications. Conclusion: Contrary to published reports, our study showed that demographic and periprocedural factors may not be responsible for the vascular access-site complications associated with VCDs. © 2021, Japan Radiological Society.
Açıklama
Anahtar Kelimeler
Anticoagulation, Complications, Endovascular treatment, Vascular closure devices, acetylsalicylic acid, antibiotic agent, clopidogrel, heparin, nitinol, adult, aged, antibiotic therapy, Article, comorbidity, controlled study, endovascular surgery, female, follow up, hematoma, hemostasis, human, infection, major clinical study, male, pain, retrospective study, vascular access, adverse event, femoral artery, hemostatic technique, treatment outcome, vascular closure device, Endovascular Procedures, Femoral Artery, Hemostatic Techniques, Humans, Retrospective Studies, Treatment Outcome, Vascular Closure Devices
Kaynak
Japanese Journal of Radiology
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
39
Sayı
12