[The problem of complications of percutaneous coronary interventions. Part III. Optimal hemostasis].
Successes in interventional cardioangiology allowed to widen area of application of percutaneous interventions. After broadened anticoagulant and antiplatelet therapy introducers are often withdrawn several hours after procedure. As a consequence exended compression of puncture site is required. This results in increase of procedure time, rate of development of complications, as well as patient s discomfort. Devices elaborated for puncture site closure allow shortening of introducer presence in an artery, hemostasis duration, and length of hospitalization. However the use of these devices is associated with higher cost and possibility of complications related to their placement. Aim of the present review is comparison of various types of closure devices with each other and with manual compression as well as assessment of their effect on rate of development of peripheral complications.
Batyraliev
T A
TA
Fettser
D V
DV
Pershukov
I V
IV
Sidorenko
B A
BA
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003327:Coronary Disease / Q000628:therapy*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D015994:Incidence; D019106:Postoperative Hemorrhage / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D011379:Prognosis