title: Successful reduction of surgeries secondary to arterial access site complications: a retrospective review at a single center with an extravascular closure device.
abstract: BACKGROUND
  Access site complications requiring emergent surgery following femoral catheterization expose patients to additional morbidities and mortality. We observed a significant decrease in such surgeries after the Mynx device was introduced.
  
  
  METHODS
  A retrospective review of surgeries performed as a complication of 6F & 7F femoral cardiac and peripheral catheterization was done. Rates of surgeries among 3 closure methods were compared during the study period July 2006 to July 2008 (Mynx, AngioSeal, and manual/mechanical compression).
  
  
  RESULTS
  Of 11 006 6F &7F transfemoral catheterization procedures, 26 (0.24%) surgeries secondary to access complications resulted. Surgeries were done in 14 (0.61%) AngioSeal patients, 10 (0.19%) manual/mechanical compression, and 2 (0.06%) Mynx patients (P < .0001 vs AngioSeal, P = .14 vs compression).
  
  
  CONCLUSIONS
  Significant reduction in surgeries was seen in the Mynx vs Angioseal patients, no difference was noted in compression subset. Further analysis is warranted to prospectively evaluate these findings.
authors.affiliation: Buffalo General Hospital, Buffalo, NY 14203, USA. sonyanoor@yahoo.com
authors.forename: Sonya
authors.initials: S
authors.lastname: Noor
authors.forename: Susan
authors.initials: S
authors.lastname: Meyers
authors.forename: Richard
authors.initials: R
authors.lastname: Curl
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D004867:Equipment Design; D005263:Femoral Artery; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D009518:New York; D011677:Punctures; D012189:Retrospective Studies; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures