Successful reduction of surgeries secondary to arterial access site complications: a retrospective review at a single center with an extravascular closure device.
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.
Noor
Sonya
S
Buffalo General Hospital, Buffalo, NY 14203, USA. sonyanoor@yahoo.com
Meyers
Susan
S
Curl
Richard
R
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