Related Experiment Video
Updated: Aug 15, 2026
Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Achieving femoral artery hemostasis after cardiac catheterization: a comparison of methods
S I Schickel1, P Adkisson, V Miracle
1Jewish Hospital, Louisville, Ky., USA.
Insights
VasoSeal, a collagen plug device, significantly reduces complications and speeds up recovery after cardiac catheterization compared to traditional methods. Patients experienced faster hemostasis, ambulation, and earlier discharge with no increase in dissatisfaction.
Area of Science:
- Cardiology
- Vascular Access
- Medical Devices
Background:
- Cardiac catheterization necessitates femoral artery hemostasis.
- Traditional methods are time-consuming and uncomfortable for patients.
- VasoSeal offers a novel approach using absorbable collagen for hemostasis.
Purpose of the Study:
- Compare VasoSeal device outcomes with traditional hemostasis methods.
- Evaluate safety and efficacy after diagnostic cardiac catheterization.
Main Methods:
- Retrospective analysis of 176 patients (81 VasoSeal, 95 traditional).
- Compared femoral access site complications, patient satisfaction, and time to hemostasis, ambulation, and discharge.
Main Results:
- No complications in the VasoSeal group versus 5.3% hematomas in the traditional group.
- VasoSeal group showed significantly faster hemostasis and ambulation (P < .001).
- VasoSeal patients discharged 5 hours sooner on average (P < .05).
Conclusions:
- VasoSeal is a safe and effective hemostasis method post-cardiac catheterization.
- The device accelerates hemostasis, ambulation, and discharge times.
- VasoSeal improves patient recovery efficiency.
Background:
Cardiac catheterization is a common procedure that involves the introduction of a small sheath (5F-8F) into the femoral artery for insertion of other diagnostic catheters. After cardiac catheterization, local compression of the femoral artery is required to prevent bleeding and to achieve hemostasis. Traditional methods of achieving hemostasis require significant time and close supervision by medical personnel and can contribute to patients' discomfort. VasoSeal is a recently developed device that delivers absorbable collagen into the supra-arterial space to promote hemostasis.
Objectives:
To compare outcomes between patients receiving a collagen plug and patients in whom a traditional method of achieving hemostasis was used after diagnostic cardiac catheterization.
Methods:
An outcomes tracking tool was used to analyze the medical records of 95 patients in whom a traditional method was used (traditional group) and 81 patients in whom VasoSeal was used (device group) to achieve hemostasis. Complications at the femoral access site, patients' satisfaction, and times to hemostasis, ambulation, and discharge were compared.
Results:
Hematomas of 6-cm diameter occurred in 5.3% of the traditional group; no complications occurred in the device group. The device group also achieved hemostasis faster and had earlier ambulation (P < .001). Patients in the device group were discharged a mean of 5 hours sooner than patients in the traditional group (P < .05). No significant differences were found in patients' satisfaction.
Conclusions:
VasoSeal is a safe and effective method of achieving hemostasis after cardiac catheterization that can hasten time to hemostasis, ambulation, and discharge.
Related Concept Videos
01:28Cardiac Catheterization I: Pre-Procedure Overview
01:21Cardiac Catheterization II: Right Heart Catheterization
01:24Cardiac Catheterization III: Left Heart Catheterization
01:26Cardiac Catheterization IV: Nursing Management