title: Arteriotomy closure device application following percutaneous coronary intervention may prevent bleeding complications in patients with acute myocardial infarction.
abstract: The current study was performed to determine whether application of arteriotomy closure devices (ACDs) affect bleeding complications as compared to manual compression in patients with ST-elevated acute myocardial infarction (STEMI) who undergo primary or rescue percutaneous intervention (PCI). 314 consecutive cases of STEMI treated with PCI were retrospectively evaluated. Overall, 82.8% of patients received ACDs with total bleeding rate of 4.2% vs. 11.1% in patients who had manual compression, p=0.042. This difference in bleeding rates did not correlate with any clinical characteristic or utilization of GPIIb/IIIa inhibitors. Accordingly, ACDs can improve the acute results of PCI in STEMI patients.
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Ikeno
authors.forename: M Ali
authors.initials: MA
authors.lastname: Sadoughi
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: Lyons
authors.forename: Farshad
authors.initials: F
authors.lastname: Raissi Shabari
authors.forename: Kourosh
authors.initials: K
authors.lastname: Pourdehmobed
authors.forename: Vahideh
authors.initials: V
authors.lastname: Hashemi
authors.forename: Sacha
authors.initials: S
authors.lastname: Emami
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kaneda
authors.forename: Alan C
authors.initials: AC
authors.lastname: Yeung
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Rezaee
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000517:prevention & control; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome