MynxGrip for Closure of Antegrade Puncture After Peripheral Interventions With Same-Day Discharge
| Autor: | Magda Konkolewska, Piotr P. Buszman, Eugeniusz Hrycek, Maciej Pruski, Adam Janas, Aleksandra Blachut, Radosław S. Kiesz |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Psychological intervention Hemorrhage Punctures 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging 03 medical and health sciences Peripheral Arterial Disease 0302 clinical medicine Catheterization Peripheral Medicine Humans Vascular closure device Prospective Studies Registries Closure (psychology) Prospective cohort study Same day discharge Aged business.industry Hemostatic Techniques General Medicine Equipment Design Length of Stay Patient Discharge Surgery Peripheral Femoral Artery Treatment Outcome Anesthesia Equipment Failure Female Poland Cardiology and Cardiovascular Medicine business Vascular Closure Devices |
| Zdroj: | Vascular and endovascular surgery. 51(2) |
| ISSN: | 1938-9116 |
| Popis: | Background: This was the first prospective study to assess the safety and efficiency of MynxGrip vascular closure device (VCD) in peripheral interventions with antegrade access. Methods and Results: We enrolled 66 consecutive patients from 1 center. All patients were discharged home on the day of procedure and were observed for adverse events at 1 and 30 days of follow-up. No major complications were observed. The rate of minor complications (conversion to manual or mechanical compression) was 7.6%. Postdischarge, 3% of patients experienced minor complications—small abscess, ipsilateral deep vein thrombosis. In 1 patient, a second VCD was deployed after device failure. The derived device failure rate was 5.9%. No patients required hospitalization. No late bleeding and no hematomas >6 cm were noted. The mean time to discharge was 4 hours and 5 minutes. Conclusion: The MynxGrip was safe and effective in sealing access sites after antegrade femoral artery puncture with same-day discharge. |
| Databáze: | OpenAIRE |
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