[Hemostatic closure of arterial puncture site using Angio-Seal after diagnostic heart catheterization or coronary intervention].
Conventional manual compression and subsequent application of pressure bandages is associated with prolonged immobility and significant patient discomfort. Routine anticoagulation as well as the use of new interventional devices and platelet inhibiting strategies lead to a higher incidence of local bleeding complications after diagnostic cardiac catheterization or coronary angioplasty. Immediate sheath removal increases patient comfort. The Angio-Seal system uses a biodegradable anchor and collagen plug for sealing of arterial puncture sites. Several studies showed the safety and efficacy of this device. Technical deployment success ranges between 88 and 100%. Significant reduction in time to hemostasis allows for earlier patient ambulation and shorter in-hospital stay compared to manual compression with peripheral complications not being increased.
Eggebrecht
H
H
Abteilung für Kardiologie, Zentrum für Innere Medizin, Universitätsklinikum Essen. holger.eggebrecht@uni-essen.de
Haude
M
M
Baumgart
D
D
Oldenburg
O
O
Herrmann
J
J
Bruch
C
C
Hunold
P
P
Neurohr
C
C
von Birgelen
C
C
Welge
D
D
Katz
M A
MA
Erbel
R
R
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D005263:Femoral Artery; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D015337:Multicenter Studies as Topic; D011677:Punctures / Q000295:instrumentation*; D016032:Randomized Controlled Trials as Topic; D013997:Time Factors