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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

[The problem of complications of percutaneous coronary interventions. Part III. Optimal hemostasis]

T A Batyraliev, D V Fettser, I V Pershukov

    Kardiologiia
    |August 30, 2008
    PubMed

    Insights

    Closure devices reduce complications and recovery time after percutaneous interventions compared to manual compression. While effective, these devices increase costs and carry placement-related risks.

    Area of Science:

    • Cardiovascular Medicine
    • Interventional Cardiology
    • Vascular Access

    Context:

    • Percutaneous interventions are increasingly common, often requiring prolonged anticoagulation.
    • This necessitates extended compression of the puncture site after introducer removal.
    • This leads to increased procedure time, complications, and patient discomfort.

    Purpose:

    • To compare the efficacy and safety of various vascular closure devices against manual compression.
    • To assess the impact of these devices on the rate of peripheral complications.

    Summary:

    • Vascular closure devices shorten introducer dwell time, hemostasis duration, and hospitalization length.
    • However, their use is linked to increased costs and potential device-related complications.
    • This review evaluates different closure devices versus manual compression regarding peripheral complication rates.

    Impact:

    • Closure devices offer potential benefits in reducing procedural time and patient discomfort.
    • A thorough understanding of their comparative effectiveness and complication profiles is crucial for clinical decision-making.
    • Optimizing vascular access management can improve patient outcomes and healthcare efficiency.

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