Restick following initial Angioseal use

Catheterization and Cardiovascular Interventions - Tập 58 Số 2 - Trang 181-184 - 2003
Robert J. Applegate1,2, Kevin M. Rankin2, William C. Little2, Frederic R. Kahl2, Michael A. Kutcher2
1In accordance with the policy of the Journal, the designated author discloses a financial or other interest in the subject discussed in this article.
2Section of Cardiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.

Tóm tắt

AbstractThe Angioseal hemostatic device is currently in widespread use for arterial closure after both diagnostic and interventional procedures. Resticking of the artery in which an Angioseal device has been placed has been discouraged for up to 90 days after the initial device placement because of theoretical concerns of disruption or dislodgment of the hemostatic plug. However, no data are available to address this concern. We evaluated the incidence of vascular complications following restick of the artery in which an Angioseal device had been deployed ≤ 90 days previously in 181 patients. Restick occurred 1–7 days after device placement in 80 patients, 8–30 days in 34 patients, and 31–90 days in 66 patients. There were no major bleeding, vascular repair, vessel occlusion, or embolizations. Three large hematomas (1.7%) were noted. These data suggest that restick can be performed safely after initial Angioseal deployment. Cathet Cardiovasc Intervent 2003;58:181–184. © 2003 Wiley‐Liss, Inc.

Từ khóa


Tài liệu tham khảo

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Thông tin xuất bản

Catheterization and Cardiovascular Interventions

Tập 58 Số 2

181-184

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