Initial experiences of removal of intra-aortic balloon pumps with the Angio-Seal.
Angio-Seal, a vascular hemostasis device, has been shown to be safe and effective in rapidly achieving hemostasis after cardiac catheterization or coronary intervention. We propose that similar results can be obtained with Angio-Seal when removing an intra-aortic balloon pump (IABP). We studied 16 patients in whom Angio-Seal was utilized in IABP removals. The primary safety endpoint was a composite of major complications such as retroperitoneal bleeding, vessel occlusion, loss of distal pulses, vascular surgery or death, and minor complications such as hematoma (> 10 cm), AV fistula or pseudoaneurysm by 7 days after removal. The time-to-hemostasis was 2-5 minutes (mean 3.3 minutes). There were no instances of major or minor complications by the seventh day in any patients.
Kato
Koji
K
Intensive and Cardiac Care Unit, Nippon Medical School, Tokyo, Japan.
Sato
Naoki
N
Yamamoto
Takeshi
T
Fujita
Nobuhiko
N
Miyagi
Yasuo
Y
Tanaka
Keiji
K
Takano
Teruo
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003094:Collagen; D020878:Device Removal / Q000379:methods*; D005260:Female; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome
D003094:Collagen