Analysis of Vascular Closure Devices After Transbrachial Artery Access
Introduction: We seek to determine whether vascular closure devices (VCDs) are safe and effective for brachial artery access. Methods: A retrospective review of brachial artery access using either manual compression (MC) or a VCD for hemostasis from November 2005 to February 2011 was performed. Resu...
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| Veröffentlicht in: | Vascular and endovascular surgery 2014-10, Vol.48 (7-8), p.466-469 |
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| container_title | Vascular and endovascular surgery |
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| creator | Mirza, Aleem K. H. Steerman, Samuel N. Ahanchi, Sadaf S. Higgins, Jonathan A. Mushti, Sirisha Panneton, Jean M. |
| description | Introduction:
We seek to determine whether vascular closure devices (VCDs) are safe and effective for brachial artery access.
Methods:
A retrospective review of brachial artery access using either manual compression (MC) or a VCD for hemostasis from November 2005 to February 2011 was performed.
Results:
Brachial artery access was performed on 154 limbs: MC on 134 limbs and VCD on 20 limbs. The incidence of thrombotic (VCD n = 0 [0%] vs MC n = 7 [5.2%], P = .37), hemorrhagic complications (VCD n = 1 [5%] vs MC n = 7 [5.2%], P = .72), or major adverse events (VCD n = 1 [5%] vs MC n = 16 [12%], P = .32) was not significantly different between the techniques. After univariate and multivariate analysis, female sex (P = .07, relative risk [RR] = 5.7), sheath size > 6F (P = .008, RR = 14.6), and diagnostic versus interventional procedure (P = .04, RR = 0.4) all impacted the occurrence of thrombosis.
Conclusions:
Use of VCD in the brachial artery following an endovascular procedure showed equivalence to MC. |
| doi_str_mv | 10.1177/1538574414551576 |
| format | Article |
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We seek to determine whether vascular closure devices (VCDs) are safe and effective for brachial artery access.
Methods:
A retrospective review of brachial artery access using either manual compression (MC) or a VCD for hemostasis from November 2005 to February 2011 was performed.
Results:
Brachial artery access was performed on 154 limbs: MC on 134 limbs and VCD on 20 limbs. The incidence of thrombotic (VCD n = 0 [0%] vs MC n = 7 [5.2%], P = .37), hemorrhagic complications (VCD n = 1 [5%] vs MC n = 7 [5.2%], P = .72), or major adverse events (VCD n = 1 [5%] vs MC n = 16 [12%], P = .32) was not significantly different between the techniques. After univariate and multivariate analysis, female sex (P = .07, relative risk [RR] = 5.7), sheath size > 6F (P = .008, RR = 14.6), and diagnostic versus interventional procedure (P = .04, RR = 0.4) all impacted the occurrence of thrombosis.
Conclusions:
Use of VCD in the brachial artery following an endovascular procedure showed equivalence to MC.</description><identifier>ISSN: 1538-5744</identifier><identifier>EISSN: 1938-9116</identifier><identifier>DOI: 10.1177/1538574414551576</identifier><identifier>PMID: 25267690</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Brachial Artery ; Catheterization, Peripheral - adverse effects ; Chi-Square Distribution ; Equipment Design ; Female ; Hemorrhage - etiology ; Hemorrhage - prevention & control ; Hemostatic Techniques - adverse effects ; Hemostatic Techniques - instrumentation ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Pressure ; Punctures ; Retrospective Studies ; Risk Factors ; Time Factors ; Treatment Outcome ; Vascular Closure Devices</subject><ispartof>Vascular and endovascular surgery, 2014-10, Vol.48 (7-8), p.466-469</ispartof><rights>The Author(s) 2014</rights><rights>The Author(s) 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-38ef461d248de78242adb7abf42cfa5d41817b4361a71a5f102d1b19fc07d6653</citedby><cites>FETCH-LOGICAL-c407t-38ef461d248de78242adb7abf42cfa5d41817b4361a71a5f102d1b19fc07d6653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1538574414551576$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1538574414551576$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25267690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mirza, Aleem K. H.</creatorcontrib><creatorcontrib>Steerman, Samuel N.</creatorcontrib><creatorcontrib>Ahanchi, Sadaf S.</creatorcontrib><creatorcontrib>Higgins, Jonathan A.</creatorcontrib><creatorcontrib>Mushti, Sirisha</creatorcontrib><creatorcontrib>Panneton, Jean M.</creatorcontrib><title>Analysis of Vascular Closure Devices After Transbrachial Artery Access</title><title>Vascular and endovascular surgery</title><addtitle>Vasc Endovascular Surg</addtitle><description>Introduction:
We seek to determine whether vascular closure devices (VCDs) are safe and effective for brachial artery access.
Methods:
A retrospective review of brachial artery access using either manual compression (MC) or a VCD for hemostasis from November 2005 to February 2011 was performed.
Results:
Brachial artery access was performed on 154 limbs: MC on 134 limbs and VCD on 20 limbs. The incidence of thrombotic (VCD n = 0 [0%] vs MC n = 7 [5.2%], P = .37), hemorrhagic complications (VCD n = 1 [5%] vs MC n = 7 [5.2%], P = .72), or major adverse events (VCD n = 1 [5%] vs MC n = 16 [12%], P = .32) was not significantly different between the techniques. After univariate and multivariate analysis, female sex (P = .07, relative risk [RR] = 5.7), sheath size > 6F (P = .008, RR = 14.6), and diagnostic versus interventional procedure (P = .04, RR = 0.4) all impacted the occurrence of thrombosis.
Conclusions:
Use of VCD in the brachial artery following an endovascular procedure showed equivalence to MC.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brachial Artery</subject><subject>Catheterization, Peripheral - adverse effects</subject><subject>Chi-Square Distribution</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Hemorrhage - etiology</subject><subject>Hemorrhage - prevention & control</subject><subject>Hemostatic Techniques - adverse effects</subject><subject>Hemostatic Techniques - instrumentation</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Pressure</subject><subject>Punctures</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Closure Devices</subject><issn>1538-5744</issn><issn>1938-9116</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAQxS0EolDYmZBHloAv8VfGqFBAqsRSWC3HsSFV2hRfg9T_HlctDEhMd7r3u3enR8gVsFsApe5AFFoozoELAULJI3IGZaGzEkAepz7J2U4fkXPEBWOggetTMspFLpUs2RmZVivbbbFF2gf6ZtENnY100vU4RE_v_VfrPNIqbHyk82hXWEfrPlrb0Sqm2ZZWLgF4QU6C7dBfHuqYvE4f5pOnbPby-DypZpnjTG2yQvvAJTQ5141XOue5bWpl68BzF6xoeHpQ1byQYBVYEYDlDdRQBsdUI6UoxuRm77uO_efgcWOWLTrfdXbl-wENSF5AuqBlQtkedbFHjD6YdWyXNm4NMLNLz_xNL61cH9yHeumb34WfuBKQ7QG0794s-iGm9PB_w2_6QnYC</recordid><startdate>201410</startdate><enddate>201410</enddate><creator>Mirza, Aleem K. H.</creator><creator>Steerman, Samuel N.</creator><creator>Ahanchi, Sadaf S.</creator><creator>Higgins, Jonathan A.</creator><creator>Mushti, Sirisha</creator><creator>Panneton, Jean M.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201410</creationdate><title>Analysis of Vascular Closure Devices After Transbrachial Artery Access</title><author>Mirza, Aleem K. H. ; Steerman, Samuel N. ; Ahanchi, Sadaf S. ; Higgins, Jonathan A. ; Mushti, Sirisha ; Panneton, Jean M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-38ef461d248de78242adb7abf42cfa5d41817b4361a71a5f102d1b19fc07d6653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brachial Artery</topic><topic>Catheterization, Peripheral - adverse effects</topic><topic>Chi-Square Distribution</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Hemorrhage - etiology</topic><topic>Hemorrhage - prevention & control</topic><topic>Hemostatic Techniques - adverse effects</topic><topic>Hemostatic Techniques - instrumentation</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Pressure</topic><topic>Punctures</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Closure Devices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mirza, Aleem K. H.</creatorcontrib><creatorcontrib>Steerman, Samuel N.</creatorcontrib><creatorcontrib>Ahanchi, Sadaf S.</creatorcontrib><creatorcontrib>Higgins, Jonathan A.</creatorcontrib><creatorcontrib>Mushti, Sirisha</creatorcontrib><creatorcontrib>Panneton, Jean M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mirza, Aleem K. H.</au><au>Steerman, Samuel N.</au><au>Ahanchi, Sadaf S.</au><au>Higgins, Jonathan A.</au><au>Mushti, Sirisha</au><au>Panneton, Jean M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of Vascular Closure Devices After Transbrachial Artery Access</atitle><jtitle>Vascular and endovascular surgery</jtitle><addtitle>Vasc Endovascular Surg</addtitle><date>2014-10</date><risdate>2014</risdate><volume>48</volume><issue>7-8</issue><spage>466</spage><epage>469</epage><pages>466-469</pages><issn>1538-5744</issn><eissn>1938-9116</eissn><abstract>Introduction:
We seek to determine whether vascular closure devices (VCDs) are safe and effective for brachial artery access.
Methods:
A retrospective review of brachial artery access using either manual compression (MC) or a VCD for hemostasis from November 2005 to February 2011 was performed.
Results:
Brachial artery access was performed on 154 limbs: MC on 134 limbs and VCD on 20 limbs. The incidence of thrombotic (VCD n = 0 [0%] vs MC n = 7 [5.2%], P = .37), hemorrhagic complications (VCD n = 1 [5%] vs MC n = 7 [5.2%], P = .72), or major adverse events (VCD n = 1 [5%] vs MC n = 16 [12%], P = .32) was not significantly different between the techniques. After univariate and multivariate analysis, female sex (P = .07, relative risk [RR] = 5.7), sheath size > 6F (P = .008, RR = 14.6), and diagnostic versus interventional procedure (P = .04, RR = 0.4) all impacted the occurrence of thrombosis.
Conclusions:
Use of VCD in the brachial artery following an endovascular procedure showed equivalence to MC.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>25267690</pmid><doi>10.1177/1538574414551576</doi><tpages>4</tpages></addata></record> |
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| ispartof | Vascular and endovascular surgery, 2014-10, Vol.48 (7-8), p.466-469 |
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| source | Access via SAGE; MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Brachial Artery Catheterization, Peripheral - adverse effects Chi-Square Distribution Equipment Design Female Hemorrhage - etiology Hemorrhage - prevention & control Hemostatic Techniques - adverse effects Hemostatic Techniques - instrumentation Humans Male Middle Aged Multivariate Analysis Pressure Punctures Retrospective Studies Risk Factors Time Factors Treatment Outcome Vascular Closure Devices |
| title | Analysis of Vascular Closure Devices After Transbrachial Artery Access |
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