Comparative outcomes of vascular access closure methods following atrial fibrillation/flutter catheter ablation: insights from VAscular Closure for Cardiac Ablation Registry.

Autor: Mohammed M; Department of Medicine, Saint Luke's Health System, Kansas City, MO, USA.; Department of Biomedical and Health Informatics, University of Missouri, Kansas City, MO, USA., Ramirez R; Division of Cardiology, The University of Kansas Hospital, Kansas City, KS, USA., Steinhaus DA; Division of Cardiology, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA.; University of Missouri Kansas City School of Medicine, 4401 Wornall Road, Kansas City, MO, 64111, USA., Yousuf OK; Division of Cardiology, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA.; University of Missouri Kansas City School of Medicine, 4401 Wornall Road, Kansas City, MO, 64111, USA., Giocondo MJ; Division of Cardiology, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA.; University of Missouri Kansas City School of Medicine, 4401 Wornall Road, Kansas City, MO, 64111, USA., Ramza BM; Division of Cardiology, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA.; University of Missouri Kansas City School of Medicine, 4401 Wornall Road, Kansas City, MO, 64111, USA., Wimmer AP; Division of Cardiology, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA.; University of Missouri Kansas City School of Medicine, 4401 Wornall Road, Kansas City, MO, 64111, USA., Gupta SK; Division of Cardiology, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA. sgupta@saint-lukes.org.; University of Missouri Kansas City School of Medicine, 4401 Wornall Road, Kansas City, MO, 64111, USA. sgupta@saint-lukes.org.
Jazyk: angličtina
Zdroj: Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing [J Interv Card Electrophysiol] 2022 Aug; Vol. 64 (2), pp. 301-310. Date of Electronic Publication: 2021 Apr 02.
DOI: 10.1007/s10840-021-00981-5
Abstrakt: Purpose: This registry compared the safety and efficacy of vascular closure device Perclose (PC) with figure-of-eight stitch (Fo8) and manual compression (MC) following catheter ablation of atrial fibrillation/flutter.
Methods: VAscular Closure for Cardiac Ablation Registry (VACCAR) is a prospective, observational registry that assessed the time to hemostasis (TTH), time to ambulation (TTA), length of stay (LOS), complications, patient-reported outcomes, and pain medication use.
Results: A total of 434 patients (mean age 64.0±11.0 years; 38% female; 94.9% white) were enrolled between October 2017 and May 2019: 156 in MC, 203 in Fo8, and 75 in the PC group. Median TTH was significantly reduced in the PC and Fo8 group at 7 and 9 min respectively vs. the MC group at 20 min (p<0.001). Median TTA was significantly reduced in both the PC and Fo8 group at 2.2 h vs. the MC group at 6.5 h (p<0.001 for both). Median LOS for the PC group was significantly reduced at 27.5 h compared to the MC and Fo8 group at 29 h (p<0.01). A higher proportion of same-day discharges were noted in the PC and Fo8 groups at 14 (18.7%) and 25 (12.3%), respectively, compared to 5 (3.2%) in the MC group (p<0.01 for all). There was no significant difference in complications between the three groups.
Conclusions: Both PC and Fo8 are safe with improved TTH, TTA, LOS, and a higher number of same-day discharges compared to MC.
(© 2021. Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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