Randomised comparison of manual compression and FemoSeal™ vascular closure device for closure after femoral artery access coronary angiography: The CLOSure dEvices Used in everyday Practice (CLOSE-UP) study

Niels R. Holm*, Birthe Sindberg, Mia Schou, Michael Maeng, Anne Kaltoft, Morten Bøttcher, Lars R. Krusell, Jakob Hjort, Leif Thuesen, Christian J. Terkelsen, Evald H. Christiansen, Hans Erik Bøtker, Steen D. Kristensen, Jens F. Lassen

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

56 Citationer (Scopus)

Abstract

Aims: To compare in a randomised trial the safety and efficacy of the FemoSeal vascular closure device (VCD) versus manual compression (MC) after femoral access coronary angiography (CAG). Methods and results: In 13 months, 1,014 patients were included and 1,001 patients entered analysis. Median [interquartile range] closure time was 8.0 [6-10] minutes after MC versus 1.0 [1-1] minute (p<0.0001) for the FemoSeal VCD. Bed rest for one hour after the closure procedure was recommended in both groups. The primary endpoint of incidence of large groin haematoma was 6.7% in the MC group vs. 2.2% (p=0.002) in the FemoSeal group. The combined endpoint of 14-day adverse vascular events occurred in 1.0% in the MC group vs. 0.6% in the FemoSeal VCD group (p=0.7). Manual compression (OR 3.3, 95% CI: 1.5-7.2, p=0.002), female gender (OR 2.1, 95% CI: 1.1-3.9, p=0.018), and multiple punctures (OR 10.5, 95% CI: 3.2-34.3, p=0.001) were identified as independent predictors of adverse events and large haematomas. Conclusions: Closure of femoral access after coronary angiography by the FemoSeal vascular closure device was safe, faster, and associated with significantly fewer in-hospital large haematomas as compared to closure by manual compression.

OriginalsprogEngelsk
TidsskriftEuroIntervention
Vol/bind10
Nummer2
Sider (fra-til)183-190
Antal sider8
ISSN1774-024X
DOI
StatusUdgivet - jun. 2014

Fingeraftryk

Dyk ned i forskningsemnerne om 'Randomised comparison of manual compression and FemoSeal™ vascular closure device for closure after femoral artery access coronary angiography: The CLOSure dEvices Used in everyday Practice (CLOSE-UP) study'. Sammen danner de et unikt fingeraftryk.

Citationsformater