Access-Site Closure with a Kaolin-Filled Pad after Intervention with Large Access Sheaths-A Retrospective
Hagen Kerndl1, Viktoria Peters1, Sebastian Zerwes1
1Vascular Surgery, Medical Faculty, University of Augsburg, Augsburg, Germany.
The QuikClot Interventional Hemostatic Bandage (QCI) is effective and safe for sealing large arteriotomies (≥8F) after interventional procedures, even with antiplatelet therapy. This study shows a 100% technical success rate and low complication rate.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Devices
Background:
- Summarizes initial experience with QuikClot Interventional Hemostatic Bandage (QCI).
- Focuses on use following interventional procedures with large-bore catheters (≥8F).
- Evaluates QCI under thrombocyte aggregation inhibition.
Purpose of the Study:
- Investigate the feasibility, efficacy, and safety of QCI.
- Assess QCI for access-site closure in large arteriotomies.
- Evaluate QCI use in patients on antiplatelet therapy.
Main Methods:
- Retrospective analysis of 27 patients.
- Procedures involved 8F or larger catheters.
- Data collected between February 2021 and January 2025.
Main Results:
- 100% technical success rate for QCI application.
- Mean patient age 69 years; 20/27 males.
- 3.7% QCI-associated complication rate; no false aneurysms detected.
Conclusions:
- QCI is easy and effective for large-bore arteriotomy closure (≥8F).
- Effective even with thrombocyte aggregation inhibition.
- Combines well with manual compression and pressure bandage.
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