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Suture closure of the brachial artery access site post-coronary catheterization
V Gliech1, H P Dübel, W Rutsch
1Charité Campus Mitte, Med. Fakultät der Humboldt-Universität zu Berlin, Herzkatheterlabor, Schumannstrasse, 20/21, 10098 Berlin, Germany.
Insights
Suture-mediated closure devices effectively achieved hemostasis in 18 patients undergoing coronary angiography via the brachial artery. Minor complications like bleeding and vasospasm occurred, but no major issues were reported.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Hemostasis at the brachial artery puncture site is crucial after coronary angiography.
- Traditional manual compression can be time-consuming and may lead to complications.
Purpose of the Study:
- To evaluate the safety and efficacy of a suture-mediated closure device for brachial artery hemostasis.
- To assess complication rates associated with this novel closure technique.
Main Methods:
- Eighteen patients undergoing diagnostic or interventional coronary angiography were included.
- A suture-mediated closure device was used to achieve hemostasis at the brachial artery puncture site.
- Outcomes including hemostasis achievement, procedural success, and complications were monitored.
Main Results:
- Hemostasis was successfully achieved in the majority of patients using the suture device.
- One patient required conversion to manual compression due to incomplete tissue capture.
- One instance of post-procedural bleeding and one case of radial artery vasospasm were reported.
Conclusions:
- Suture-mediated closure devices offer a viable option for brachial artery hemostasis post-coronary angiography.
- The device demonstrated an acceptable safety profile with no major complications observed.
- Further studies may be warranted to optimize device usage and minimize minor adverse events.
Abstract:
A total of 18 diagnostic and interventional coronary angiographic patients were treated with a suture mediated closure device for achievement of hemostasis at the brachial artery puncture site. One case resulted in crossing over to standard manual compression due to incomplete tissue capture post-closure. One post-procedural bleeding was reported as well as one case of radial artery vasospasm. No late or major complications were reported.