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A New Vascular Closure Device for the Transradial Approach: The D Stat Radial System

A New Vascular Closure Device for the Transradial Approach: The D Stat Radial System Background: The transradial approach is associated with low complication rates. The D Stat Radial® vascular closure system offers hemostatic pressure locally at the puncture site with residual venous flow. Methods: We prospectively included 113 consecutive patients presenting between August 2006 and December 2006. Diagnostic coronary procedures were performed using 4 Fr or 5 Fr sheaths, while 6 Fr devices were used for PCI. In every case at least 5.000 IU heparin was given. Compression with the retention strap was planned for ∼3 hours before the pad was fixed using a medical strip. All data were entered into a database after a two‐dimensional ultrasound examination study of the puncture site. Results: The mean age was 65 years (±SD 10.3), with 62% being male. Patients presenting with acute coronary syndrome amounted to 6.2%, where 5r F sheaths were usually used with these patients (64.6%). PCI was carried out in 21.2% of cases. The system was applied successfully in all patients. The mean duration of compression was 4.6 hours (±SD 1.4). Bleeding after removal of the system occurred in 18.6% of cases, which resulted in prolonged compression in 17.7%. A hematoma >5 cm was seen in 4.4% of the sample. Ultrasound examinations revealed closure of the radial artery in 6.2%. Conclusions: We conclude that this new device operates efficiently, but bleeding occurred in 18.6%. Compression time should be extended to 6 hours. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Interventional Cardiology Wiley

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References (8)

Publisher
Wiley
Copyright
©2008, the Authors Journal compilation ©2008, Wiley Periodicals, Inc.
ISSN
0896-4327
eISSN
1540-8183
DOI
10.1111/j.1540-8183.2008.00366.x
pmid
18564214
Publisher site
See Article on Publisher Site

Abstract

Background: The transradial approach is associated with low complication rates. The D Stat Radial® vascular closure system offers hemostatic pressure locally at the puncture site with residual venous flow. Methods: We prospectively included 113 consecutive patients presenting between August 2006 and December 2006. Diagnostic coronary procedures were performed using 4 Fr or 5 Fr sheaths, while 6 Fr devices were used for PCI. In every case at least 5.000 IU heparin was given. Compression with the retention strap was planned for ∼3 hours before the pad was fixed using a medical strip. All data were entered into a database after a two‐dimensional ultrasound examination study of the puncture site. Results: The mean age was 65 years (±SD 10.3), with 62% being male. Patients presenting with acute coronary syndrome amounted to 6.2%, where 5r F sheaths were usually used with these patients (64.6%). PCI was carried out in 21.2% of cases. The system was applied successfully in all patients. The mean duration of compression was 4.6 hours (±SD 1.4). Bleeding after removal of the system occurred in 18.6% of cases, which resulted in prolonged compression in 17.7%. A hematoma >5 cm was seen in 4.4% of the sample. Ultrasound examinations revealed closure of the radial artery in 6.2%. Conclusions: We conclude that this new device operates efficiently, but bleeding occurred in 18.6%. Compression time should be extended to 6 hours.

Journal

Journal of Interventional CardiologyWiley

Published: Aug 1, 2008

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