Jo. Balzer et al., Postinterventional transcutaneous suture of femoral artery access sites inpatients with peripheral arterial occlusive disease: A study of 930 patients, CATHET C IN, 53(2), 2001, pp. 174-181
The purpose of this study was to evaluate a percutaneous vascular suture (P
VS) device in patients with peripheral arterial occlusive disease (PAOD) fo
r achievement of immediate hemostasis at the vascular access site and early
ambulation of fully anticoagulated patients after peripheral interventiona
l procedures. From June 1995 to March 2000, a vascular suture using a PVS d
evice (6-10 Fr) was applied in 930 patients with PAOD. All patients had rec
eived an endoluminal intervention in the pelvic and/or the contralateral fe
moropopliteal region via a retrograde access through the common femoral art
ery (CFA). The incidence of complications within 12 hr after intervention,
prior to discharge, and at 30-day follow-up was assessed employing clinical
examination, treadmill test, and color Doppler ultrasound and the safety o
f the PVS device was determined, The efficacy of the system was measured by
the percentage of achieved immediate hemostasis and early ambulation. PVS
was technically successful in 92.2% independently from the degree of calcif
ication at the access site. In 7.8%, an appropriate suture delivery could n
ot be performed and these patients were successfully treated by conventiona
l compression technique. Device malfunction or insufficient suture closure
occurred in 1.7% and 2.1%, respectively. In 7.0%, groin-related complicatio
ns occurred. Ambulation within 2-4 hr after successful suture was possible
in 96.1%. All patients were free of any local symptoms at 30-day follow-up.
The PVS device provides a safe and effective solution to achieve immediate
hemostasis, thus permitting early ambulation in fully anticoagulated patie
nts with PAOD after peripheral interventional procedures. (C) 2001 Wiley-Li
ss, Inc.