Access site management after peripheral percutaneous transluminal procedures: Neptune Pad compared with conventional manual compression
To investigate the safety and efficacy of the procoagulant wound dressing Neptune Pad (Biotronik, Berlin, Germany) compared with those of conventional manual compression for access site management after peripheral percutaneous interventions. The study was approved by the institutional ethics committ...
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| Veröffentlicht in: | Radiology 2008-12, Vol.249 (3), p.1058-1063 |
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| creator | MLEKUSCH, Wolfgang MINAR, Erich DICK, Petra SABETI, Schila BARTOK, Andrea HAUMER, Markus BONELLI, Michael VORMITTAG, Laurenz KOPPENSTEINER, Renate SCHILLINGER, Martin |
| description | To investigate the safety and efficacy of the procoagulant wound dressing Neptune Pad (Biotronik, Berlin, Germany) compared with those of conventional manual compression for access site management after peripheral percutaneous interventions.
The study was approved by the institutional ethics committee, and all patients gave written informed consent. Two hundred one consecutive patients were enrolled and were randomly assigned to be treated with the Neptune Pad (n = 100) or conventional manual compression (n = 101). Patients were followed up clinically until hospital discharge and with duplex ultrasonography at 24 hours after the procedure to evaluate occurrence of access site complications. Time to hemostasis and time to ambulation were recorded, and patient and physician discomfort were measured by using a visual analogue scale.
The risk for access site complications was not significantly different between the Neptune Pad group and the conventional compression group (adjusted odds ratio, 1.15; 95% confidence interval: 0.47, 2.84; P = .76). Time to hemostasis was marginally reduced in the Neptune Pad group. Patient and physician discomfort were lessened with use of the device.
The hemostatic device Neptune Pad does not improve the safety of access site management after peripheral percutaneous procedures. Markedly improved comfort was noted among patients in the Neptune Pad group and by the physicians obtaining hemostasis. |
| doi_str_mv | 10.1148/radiol.2492080181 |
| format | Article |
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The study was approved by the institutional ethics committee, and all patients gave written informed consent. Two hundred one consecutive patients were enrolled and were randomly assigned to be treated with the Neptune Pad (n = 100) or conventional manual compression (n = 101). Patients were followed up clinically until hospital discharge and with duplex ultrasonography at 24 hours after the procedure to evaluate occurrence of access site complications. Time to hemostasis and time to ambulation were recorded, and patient and physician discomfort were measured by using a visual analogue scale.
The risk for access site complications was not significantly different between the Neptune Pad group and the conventional compression group (adjusted odds ratio, 1.15; 95% confidence interval: 0.47, 2.84; P = .76). Time to hemostasis was marginally reduced in the Neptune Pad group. Patient and physician discomfort were lessened with use of the device.
The hemostatic device Neptune Pad does not improve the safety of access site management after peripheral percutaneous procedures. Markedly improved comfort was noted among patients in the Neptune Pad group and by the physicians obtaining hemostasis.</description><identifier>ISSN: 0033-8419</identifier><identifier>EISSN: 1527-1315</identifier><identifier>DOI: 10.1148/radiol.2492080181</identifier><identifier>PMID: 18840791</identifier><identifier>CODEN: RADLAX</identifier><language>eng</language><publisher>Oak Brook, IL: Radiological Society of North America</publisher><subject>Aged ; Aged, 80 and over ; Alginates - administration & dosage ; Angioplasty, Balloon ; Bandages ; Biological and medical sciences ; Female ; Glucuronic Acid - administration & dosage ; Hemostatic Techniques - instrumentation ; Hexuronic Acids - administration & dosage ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Patients ; Pressure ; Vascular Diseases - surgery</subject><ispartof>Radiology, 2008-12, Vol.249 (3), p.1058-1063</ispartof><rights>2009 INIST-CNRS</rights><rights>RSNA, 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-4481c4a393a5394e09c1877fbbb1915a1524f57d233b42b7c404289f267dd9fe3</citedby><cites>FETCH-LOGICAL-c329t-4481c4a393a5394e09c1877fbbb1915a1524f57d233b42b7c404289f267dd9fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20849480$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18840791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MLEKUSCH, Wolfgang</creatorcontrib><creatorcontrib>MINAR, Erich</creatorcontrib><creatorcontrib>DICK, Petra</creatorcontrib><creatorcontrib>SABETI, Schila</creatorcontrib><creatorcontrib>BARTOK, Andrea</creatorcontrib><creatorcontrib>HAUMER, Markus</creatorcontrib><creatorcontrib>BONELLI, Michael</creatorcontrib><creatorcontrib>VORMITTAG, Laurenz</creatorcontrib><creatorcontrib>KOPPENSTEINER, Renate</creatorcontrib><creatorcontrib>SCHILLINGER, Martin</creatorcontrib><title>Access site management after peripheral percutaneous transluminal procedures: Neptune Pad compared with conventional manual compression</title><title>Radiology</title><addtitle>Radiology</addtitle><description>To investigate the safety and efficacy of the procoagulant wound dressing Neptune Pad (Biotronik, Berlin, Germany) compared with those of conventional manual compression for access site management after peripheral percutaneous interventions.
The study was approved by the institutional ethics committee, and all patients gave written informed consent. Two hundred one consecutive patients were enrolled and were randomly assigned to be treated with the Neptune Pad (n = 100) or conventional manual compression (n = 101). Patients were followed up clinically until hospital discharge and with duplex ultrasonography at 24 hours after the procedure to evaluate occurrence of access site complications. Time to hemostasis and time to ambulation were recorded, and patient and physician discomfort were measured by using a visual analogue scale.
The risk for access site complications was not significantly different between the Neptune Pad group and the conventional compression group (adjusted odds ratio, 1.15; 95% confidence interval: 0.47, 2.84; P = .76). Time to hemostasis was marginally reduced in the Neptune Pad group. Patient and physician discomfort were lessened with use of the device.
The hemostatic device Neptune Pad does not improve the safety of access site management after peripheral percutaneous procedures. Markedly improved comfort was noted among patients in the Neptune Pad group and by the physicians obtaining hemostasis.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alginates - administration & dosage</subject><subject>Angioplasty, Balloon</subject><subject>Bandages</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Glucuronic Acid - administration & dosage</subject><subject>Hemostatic Techniques - instrumentation</subject><subject>Hexuronic Acids - administration & dosage</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patients</subject><subject>Pressure</subject><subject>Vascular Diseases - surgery</subject><issn>0033-8419</issn><issn>1527-1315</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOHDEQRa0oKAyTfACbyJuwa3DZ7rGdHULhIY2ARVi33O5qxlG_YruD-IL8Nm7NCFZlu869rrqEnAI7B5D6ItjGj905l4YzzUDDJ7KCkqsCBJSfyYoxIQotwRyTkxj_MAay1OoLOQatJVMGVuT_pXMYI40-Ie3tYJ-xxyFR2yYMdMLgpx0G2y1HNyc74DhHmoIdYjf3flg6YXTYzAHjT3qPU5oHpI-2oW7sJxuwoS8-7fJt-JeN_bhI8kdzLguRZTE_fiVHre0ifjvUNXm6_vX76rbYPtzcXV1uCye4SYWUGpy0wghbCiORGQdaqbauazBQ2ry9bEvVcCFqyWvlJJNcm5ZvVNOYFsWanO1989R_Z4yp6n102HX7zaqN0YwzqTIIe9CFMcaAbTUF39vwWgGrlvSrffrVR_pZ8_1gPtc9Nh-KQ9wZ-HEAbHS2a3OMzsd3LvtIIzUTb9Iokew</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>MLEKUSCH, Wolfgang</creator><creator>MINAR, Erich</creator><creator>DICK, Petra</creator><creator>SABETI, Schila</creator><creator>BARTOK, Andrea</creator><creator>HAUMER, Markus</creator><creator>BONELLI, Michael</creator><creator>VORMITTAG, Laurenz</creator><creator>KOPPENSTEINER, Renate</creator><creator>SCHILLINGER, Martin</creator><general>Radiological Society of North America</general><scope>IQODW</scope><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>20081201</creationdate><title>Access site management after peripheral percutaneous transluminal procedures: Neptune Pad compared with conventional manual compression</title><author>MLEKUSCH, Wolfgang ; MINAR, Erich ; DICK, Petra ; SABETI, Schila ; BARTOK, Andrea ; HAUMER, Markus ; BONELLI, Michael ; VORMITTAG, Laurenz ; KOPPENSTEINER, Renate ; SCHILLINGER, Martin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-4481c4a393a5394e09c1877fbbb1915a1524f57d233b42b7c404289f267dd9fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alginates - administration & dosage</topic><topic>Angioplasty, Balloon</topic><topic>Bandages</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Glucuronic Acid - administration & dosage</topic><topic>Hemostatic Techniques - instrumentation</topic><topic>Hexuronic Acids - administration & dosage</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patients</topic><topic>Pressure</topic><topic>Vascular Diseases - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MLEKUSCH, Wolfgang</creatorcontrib><creatorcontrib>MINAR, Erich</creatorcontrib><creatorcontrib>DICK, Petra</creatorcontrib><creatorcontrib>SABETI, Schila</creatorcontrib><creatorcontrib>BARTOK, Andrea</creatorcontrib><creatorcontrib>HAUMER, Markus</creatorcontrib><creatorcontrib>BONELLI, Michael</creatorcontrib><creatorcontrib>VORMITTAG, Laurenz</creatorcontrib><creatorcontrib>KOPPENSTEINER, Renate</creatorcontrib><creatorcontrib>SCHILLINGER, Martin</creatorcontrib><collection>Pascal-Francis</collection><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>Radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MLEKUSCH, Wolfgang</au><au>MINAR, Erich</au><au>DICK, Petra</au><au>SABETI, Schila</au><au>BARTOK, Andrea</au><au>HAUMER, Markus</au><au>BONELLI, Michael</au><au>VORMITTAG, Laurenz</au><au>KOPPENSTEINER, Renate</au><au>SCHILLINGER, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Access site management after peripheral percutaneous transluminal procedures: Neptune Pad compared with conventional manual compression</atitle><jtitle>Radiology</jtitle><addtitle>Radiology</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>249</volume><issue>3</issue><spage>1058</spage><epage>1063</epage><pages>1058-1063</pages><issn>0033-8419</issn><eissn>1527-1315</eissn><coden>RADLAX</coden><abstract>To investigate the safety and efficacy of the procoagulant wound dressing Neptune Pad (Biotronik, Berlin, Germany) compared with those of conventional manual compression for access site management after peripheral percutaneous interventions.
The study was approved by the institutional ethics committee, and all patients gave written informed consent. Two hundred one consecutive patients were enrolled and were randomly assigned to be treated with the Neptune Pad (n = 100) or conventional manual compression (n = 101). Patients were followed up clinically until hospital discharge and with duplex ultrasonography at 24 hours after the procedure to evaluate occurrence of access site complications. Time to hemostasis and time to ambulation were recorded, and patient and physician discomfort were measured by using a visual analogue scale.
The risk for access site complications was not significantly different between the Neptune Pad group and the conventional compression group (adjusted odds ratio, 1.15; 95% confidence interval: 0.47, 2.84; P = .76). Time to hemostasis was marginally reduced in the Neptune Pad group. Patient and physician discomfort were lessened with use of the device.
The hemostatic device Neptune Pad does not improve the safety of access site management after peripheral percutaneous procedures. Markedly improved comfort was noted among patients in the Neptune Pad group and by the physicians obtaining hemostasis.</abstract><cop>Oak Brook, IL</cop><pub>Radiological Society of North America</pub><pmid>18840791</pmid><doi>10.1148/radiol.2492080181</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Alginates - administration & dosage Angioplasty, Balloon Bandages Biological and medical sciences Female Glucuronic Acid - administration & dosage Hemostatic Techniques - instrumentation Hexuronic Acids - administration & dosage Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Patients Pressure Vascular Diseases - surgery |
| title | Access site management after peripheral percutaneous transluminal procedures: Neptune Pad compared with conventional manual compression |
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