34702
document
Closure of the femoral artery after cardiac catheterization : a comparison of Angio-Seal , StarClose , and manual compression . OBJECTIVES To compare Angio-Seal ( AS ) and StarClose ( SC ) and manual compression ( MC ) on efficacy of hemostasis , complication rate , safety of early mobilization , and patient comfort . BACKGROUND Closure of the femoral artery after cardiac catheterization can be obtained through different methods . Today , physicians can choose from a number of different devices to achieve arterial closure . METHODS In a prospective trial 450 patients were randomized to AS , SC , or MC . Patients were mobilized 1 to 2 hr after device placement , and 6 hr after MC . Data were collected during hospital admission and by telephone at one month after hospital discharge . RESULTS Devices were used in 138/150 allocated to AS and 124/150 allocated to SC patients ( 92 % vs. 83 % , P = 0.015 ) Patients with MC experienced more pain during sheath removal than patients receiving a device , and rated their period of bed rest as less comfortable . Oozing and need for pressure bandage at the puncture site were observed in 37 AS patients and 57 SC patients ( 25 % vs. 38 % , P = 0.002 ) . Hematoma occurred in 15 AS patients , in 17 SC patients , and in 14 MC patients ( 11 vs. 14 vs. 9 % , ns ) . CONCLUSION There is no difference in safety between the three methods of arterial closure . SC was more often not used or successfully deployed . SC patients more often had continuing oozing . On patient comfort , closure devices performed better than MC . Early ambulation in patients with a closure device is safe . AS is the preferred method of arterial closure after cardiac catheterization .
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Intervention_Physical
Angio-Seal ( AS )
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Intervention_Physical
StarClose ( SC )
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Intervention_Physical
manual compression ( MC )
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Intervention_Physical
AS
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Intervention_Physical
SC
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Intervention_Physical
MC
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Intervention_Physical
MC
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Outcome_Physical
efficacy of hemostasis
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Outcome_Adverse-effects
complication rate
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Outcome_Other
safety of early mobilization
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Outcome_Other
patient comfort
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Outcome_Pain
pain during sheath removal
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Outcome_Other
period of bed rest
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Outcome_Other
Oozing and need for pressure bandage at the puncture site
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Outcome_Adverse-effects
Hematoma
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Outcome_Other
safety
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Outcome_Physical
oozing
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Outcome_Other
patient comfort