Early mobilization after percutaneous catheterization and vascular closure with a novel device (Star-Close)

Area of Science:

• Cardiovascular Medicine
• Medical Devices
• Interventional Cardiology

Background:

• Arteriotomy closure after cardiac catheterization traditionally relies on manual compression.
• Existing closure devices aim to improve efficiency and patient comfort.
• A novel clip-based system, Star-Close, was evaluated for arteriotomy closure.

Purpose of the Study:

• To assess the safety and efficacy of the Star-Close arteriotomy closure device.
• To evaluate the potential for early patient mobilization following its use.
• To report the initial clinical experience with this novel device.

Main Methods:

• A prospective series of 60 patients undergoing cardiac catheterization were included.
• The Star-Close device was used to achieve hemostasis at the arteriotomy site.
• Patient outcomes, including successful deployment and time to mobilization, were recorded.

Main Results:

• The Star-Close device achieved successful closure and hemostasis in the majority of patients.
• Early mobilization (within 2 hours) was possible in 55 out of 60 patients (92%).
• Device deployment failed in 5 patients, requiring alternative closure methods.

Conclusions:

• The Star-Close system represents a safe and effective novel device for arteriotomy closure.
• It facilitates early deambulation for selected patients after diagnostic cardiac catheterization.
• Further studies may confirm its utility in a broader patient population.