EFFICACY OF PERCUTANEOUS VASCULAR HEMOSTASIS SYSTEM PROSTAR - COMPARISON TO MANUAL COMPRESSION

In this study, we evaluated the safety and efficacy of the percutaneou s vascular surgery device (Prostar) for sealing the femoral artery pun cture site after coronary interventions. We also compared the results with Prostar (n = 167) and conventional manual compression methods (n = 50) in a nonrandomized fashion. The average time to hemostasis in th e Prostar system group was 13.5 minutes, versus 36.6 minutes in the co mpression group. The average time to ambulation was 2.2 hours in the P rostar system group, versus 17.8 hours in the manual group. Bleeding w as observed in 1.2% of the subjects in the Prostar system group, versu s 12% in the manual compression group. One emergency surgery was requi red in the manual compression group, whereas no surgical intervention was required in the Prostar group. We conclude that the Prostar system for percutaneous vascular closure appears to be a safe technique for achieving an early hemostasis and ambulation after coronary interventi on.