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Infectious complications resulting from use of hemostatic puncture closure devices

T P Smith1, C P Cruz, M M Moursi

  • 1Department of Surgery, Division of Vascular Surgery, Central Arkansas Veterans Healthcare System, Little Rock, AR 72205, USA.

American Journal of Surgery
|February 13, 2002
PubMed

Insights

Hemostatic puncture closure devices, like Perclose, offer similar bleeding control to manual compression after femoral artery catheterization. However, these devices are linked to a higher incidence of infectious groin complications requiring surgical intervention.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery
  • Radiology

Background:

  • Increasing femoral access site complications necessitate improved closure techniques.
  • Hemostatic puncture closure devices were developed to manage hemorrhage.
  • Groin complications are a concern in minimally invasive procedures.

Purpose of the Study:

  • To compare infectious groin complications between Perclose devices and manual compression.
  • To evaluate the safety and efficacy of hemostatic closure devices.

Main Methods:

  • Retrospective review of cardiac catheterizations.
  • Analysis of infectious groin complications associated with Perclose Prostar and Techstar devices.
  • Comparison with manual compression group.

Main Results:

  • Infectious groin complications were significantly higher in the Perclose group versus manual compression.
  • Five patients experienced infections (3 arterial, 2 soft tissue), requiring operative intervention.
  • No significant difference in hemorrhagic complications between device and manual compression groups.

Conclusions:

  • Perclose devices achieve hemostasis comparable to manual compression post-femoral artery catheterization.
  • Infectious groin complications are more frequent with Perclose devices.
  • Careful patient selection and monitoring are crucial when using these devices.
Abstract

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