Application of ExoSeal vascular closure device in interventional management via antegrade femoral access
10.13929/j.1672-8475.201706016
- VernacularTitle:ExoSeal血管封堵器在股总动脉顺行入路腔内治疗中的应用
- Author:
Yan ZHANG
1
;
Wanghai LI
;
Yong WANG
;
Yang LIN
;
Chengzhi LI
;
Hong ZHANG
;
Yulong LIU
;
Xiaobai WANG
Author Information
1. 暨南大学附属第一医院介入血管外科
- Keywords:
Hemostasis;
Vascular closure device;
Arteriosclerosis,obliterans;
Femoral artery
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(11):659-662
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and clinical value of using ExoSeal vascular closure device (VCD) in interventional management via antegrade femoral access.Methods Clinical and imaging data of 303 patients (316 affected limbs) who were received interventional procedure via antegrade femoral access closure were retrospectively analyzed.ExoSeal VCD (VCD group,n=127) and manual compression (MC group,n =176) were performed to make femoral artery puncture point hemostasis.The time of hemostasis,actual immobilization time,technical success rate and vascular related complications were recorded and compared between the two groups.Results In VCD group and MC group,the time of hemostasis were (3.68 ± 2.40) min and (18.32 ± 4.54) min,the actual immobilization time were (3.45±5.30) h and (10.44±14.68) h,the technical success rates were 98.52％ (133/135) and 93.92％ (170/181),and the complication rates were 2.22％ (3/135) and 8.84％ (16/181),respectively.There were statistically significant differences between two groups (all P＜0.05).In VCD group,there were 2 cases of subcutaneous hematomas,and 1 case of retroperitoneal hematoma.In MC group,there were 15 cases of subcutaneous hematomas and 1 case of acute thrombosis in the puncture side limb.Conclusion Regarding hemostasis of puncture site in interventional management via antegrade femoral access,the use of ExoSeal VCD is safe and effective.
