Abstract:
PURPOSE:Upper extremity and tibiopedal arterial access are increasingly used during endovascular therapies. Balloon compression hemostasis devices in these anatomic locations have been described, but most utilize a compression surface extending well beyond the puncture site. We report single-center experience with an arterial puncture-focused compression device following upper extremity and tibiopedal access. PATIENTS AND METHODS:A series of 249 focused compression hemostasis devices (VasoStat, Forge Medical, Bethlehem, Pennsylvania, USA) were used in 209 patients following lower extremity (n = 63) and upper extremity (n = 186; radial: 90%) arterial access procedures using 4-7 French sheaths. Demographic, operative, and follow-up data were collected. Logistic regression was used to evaluate potential association between patient/operative variables and time to hemostasis. RESULTS:Primary hemostasis was achieved in 97.2% (242/249) following sheath removal; in 7 cases (2.8%) puncture site oozing occurred after initial device removal and required reapplication. Secondary hemostasis was 100% (249/249). Seven complications (2.8%) were recorded: 5 minor hematomas (2%) and 2 transient access artery occlusions (0.8%). Mean time to hemostasis enabling device removal was 55 ± 28 min. Elevated body mass index (BMI) was not associated with increased time to hemostasis (p = 0.31). Accessed artery, sheath size, and heparin dose were also not associated with time to hemostasis (p = 0.64; p = 0.74; p = 0.75, respectively). CONCLUSIONS:The focused compression hemostasis device enabled rapid hemostasis with a low complication rate. Time to hemostasis was independent of BMI, access site, sheath size, or heparin dose.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Barrette LX,Vance AZ,Shamimi-Noori S,Nadolski GP,Reddy S,Kratz KM,Redmond JW,Clark TWIdoi
10.1007/s00270-020-02431-7subject
Has Abstractpub_date
2020-05-01 00:00:00pages
714-720issue
5eissn
0174-1551issn
1432-086Xpii
10.1007/s00270-020-02431-7journal_volume
43pub_type
杂志文章abstract:PURPOSE:Primary hyperhidrosis (PH) typically involves the craniofacial (CF) or axillary-palmar (AP) region. Our purpose was to determine the safety and efficacy of CT-guided sympatholysis for treating PH. METHODS:In this prospective study, 39 consecutive patients with CF or AP PH were referred for percutaneous sympath...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-009-9592-9
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-011-0096-z
更新日期:2011-10-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:1990-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00270-004-0091-8
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:To evaluate yttrium-90 (Y90) radioembolization outcomes across Child-Pugh scores in patients with advanced hepatocellular carcinoma (HCC). MATERIALS AND METHODS:From April 2005 to December 2018, 106 consecutive patients with BCLC Stage C HCC who underwent Y90 radioembolization were retrospectively analyzed. ...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-020-02434-4
更新日期:2020-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/BF00204141
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
pub_type: 临床试验,杂志文章
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更新日期:1998-07-01 00:00:00
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更新日期:2008-05-01 00:00:00
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更新日期:2005-07-01 00:00:00
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更新日期:2010-08-01 00:00:00
abstract::The aim of this article is to report our experience in the diagnosis of two cases of iliac artery endofibrosis or arteriopathy, a rare entity occurring in high-performance athletes, presenting with intermittent claudication (right-sided in both) after maximal exercise. External iliac artery endofibrosis or arteriopath...
journal_title:Cardiovascular and interventional radiology
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更新日期:2006-09-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 临床试验,杂志文章
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abstract:AIMS:In this article we present our experience with radiofrequency ablation (RFA) in the treatment of 105 renal tumors. MATERIALS AND METHODS:RFA was performed on 105 renal tumors in 97 patients, with a mean tumor size of 32 mm (11-68 mm). The mean patient age was 71.7 years (range, 36-89 years). The ablations were ca...
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更新日期:2007-09-01 00:00:00
abstract:PURPOSE:To assess the efficacy of intrapleural urokinase instillation through small-caliber catheters for the treatment of loculate and/or septate effusions. METHODS:We inserted small-caliber catheters (8.2 Fr) in 102 patients with septate and/or loculate pleural effusions using ultrasonographic guidance. Urokinase (1...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:1999-03-01 00:00:00
abstract::Two or three sessions of transcatheter arterial infusion (TAI) therapy were performed preoperatively in 13 patients with advanced cervical cancer (stage 3 or more). The efficacy of TAI was evaluated by tumor markers, magnetic resonance imaging (MRI), and postoperative histopathological examination. In all cases, tumor...
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pub_type: 杂志文章
doi:10.1007/BF02603031
更新日期:1993-01-01 00:00:00