Abstract:
INTRODUCTION:We seek to determine whether vascular closure devices (VCDs) are safe and effective for brachial artery access. METHODS:A retrospective review of brachial artery access using either manual compression (MC) or a VCD for hemostasis from November 2005 to February 2011 was performed. RESULTS:Brachial artery access was performed on 154 limbs: MC on 134 limbs and VCD on 20 limbs. The incidence of thrombotic (VCD n = 0 [0%] vs MC n = 7 [5.2%], P = .37), hemorrhagic complications (VCD n = 1 [5%] vs MC n = 7 [5.2%], P = .72), or major adverse events (VCD n = 1 [5%] vs MC n = 16 [12%], P = .32) was not significantly different between the techniques. After univariate and multivariate analysis, female sex (P = .07, relative risk [RR] = 5.7), sheath size > 6F (P = .008, RR = 14.6), and diagnostic versus interventional procedure (P = .04, RR = 0.4) all impacted the occurrence of thrombosis. CONCLUSIONS:Use of VCD in the brachial artery following an endovascular procedure showed equivalence to MC.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Mirza AK,Steerman SN,Ahanchi SS,Higgins JA,Mushti S,Panneton JMdoi
10.1177/1538574414551576subject
Has Abstractpub_date
2014-10-01 00:00:00pages
466-9issue
7-8eissn
1538-5744issn
1938-9116pii
1538574414551576journal_volume
48pub_type
杂志文章abstract::Finger ischemia due to embolic occlusion of digital arteries resulting from trauma to the palmar ulnar artery has been termed hypothenar hammer syndrome (HHS). In HHS, arterial thrombosis and/or aneurysm formation with embolization to the digital arteries causes symptoms of ischemia. We describe a patient in whom the ...
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