StarClose vascular closure device: prospective study on 222 deployments in an interventional radiology practice.
The StarClose device (Abbott Vascular Devices; Abbott Laboratories, Redwood City, CA) utilizes an externally placed Nitinol clip to achieve arterial closure following femoral artery puncture. The objectives of this study were to assess the efficacy and complications of the StarClose device in patients undergoing interventional radiological procedures. Preprocedural clotting status, pulse and blood pressure, severity of vessel calcification, sheath size, and time to deployment were recorded. Postdeployment complications immediately postprocedure, at 1 h, at 2 h, and at 1 week were recorded. A duplex scan was performed in the first 10 patients to assess any immediate vascular complications. Deployments were successful in 96% achieving immediate hemostasis. Mean deployment time was 48 s. There were no major complications. The StarClose device was found to have a high technical and clinical efficacy.
Imam
Atique
A
Department of Radiology, John Radcliffe Hospital, Headley Way, OX3 9DU, Headington, Oxford, UK.
Carter
Ranjana M S
RM
Phillips-Hughes
Jane
J
Boardman
Philip
P
Uberoi
Raman
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D004867:Equipment Design; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010314:Partial Thromboplastin Time; D011446:Prospective Studies; D011677:Punctures; D015642:Radiology, Interventional / Q000295:instrumentation*; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation*; D018616:Ultrasonography, Doppler, Duplex