Mynx Vascular Closure Device in Arterial Endovascular Procedures

Autor: Horace J. Spencer, Mohammed M. Moursi, Lewis C. Lyons, Michael C. Scott, Ahsan T. Ali, Matthew R. Smeds, Guillermo A. Escobar
Rok vydání: 2018
Předmět:
Male
Time Factors
Percutaneous
medicine.medical_treatment
Blood Loss
Surgical
Comorbidity
030204 cardiovascular system & hematology
Endovascular aneurysm repair
0302 clinical medicine
Risk Factors
Odds Ratio
Medicine
Vascular closure device
030212 general & internal medicine
Univariate analysis
Arkansas
Endovascular Procedures
Age Factors
Angiography
Atrial fibrillation
Arteries
Equipment Design
General Medicine
Middle Aged
Treatment Outcome
medicine.anatomical_structure
Equipment Failure
Female
Cardiology and Cardiovascular Medicine
Vascular Closure Devices
Adult
medicine.medical_specialty
Punctures
Mynx vascular closure device
Postoperative Hemorrhage
03 medical and health sciences
Catheterization
Peripheral
Humans
Aged
Retrospective Studies
Groin
Hemostatic Techniques
business.industry
medicine.disease
Surgery
Logistic Models
Hemostasis
Multivariate Analysis
business
Zdroj: Annals of Vascular Surgery. 46:112-117
ISSN: 0890-5096
Popis: Background Vascular closure devices have been used to achieve hemostasis of percutaneous access sites following endovascular procedures, with reported decreased time for arterial control as well as decreased time to ambulation. We sought to determine rates and risk factors of postoperative bleeding complications and failures using these devices from a single institution experienced in the use of vascular closure devices. Methods All patients undergoing arterial endovascular procedures with percutaneous access between March 2010 and October 2015 at a single institution were identified and analyzed (n = 894). Patients undergoing endovascular aneurysm repair, open access, venous procedures, or upper extremity access were excluded. Comparison groups were formed between those using the Mynxgrip® (Mynx), Angio-Seal™, Perclose® vascular closure devices and manual pressure (MP). Patient demographics, intraoperative data, and postoperative complications were compared. Results A total of 615 (69%) patients received Mynx, 165 other vascular closure devices (VCD) ([14%] Perclose, 44 [4%] Angio-Seal), and 114 (13%) MP. MP patients were more likely to be diagnostic angiogram with smaller sheaths, while VCD patients were more likely to be interventions with larger sheaths. Univariate analysis identified age, atrial fibrillation, intervention (as opposed to diagnostic), and sheath size >5F associated with postoperative bleeding (P Conclusions Use of vascular closure devices has a low rate of bleeding complication, device failure, and need for operative repair. Bleeding is associated with increased age, interventional procedure, and end-stage renal disease. Mynx, Perclose, and Angio-Seal have similar rates of complications. Use of these devices are a safe option for groin vessel closure.
Databáze: OpenAIRE
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