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Groin complications associated with collagen plug closure of femoral arterial puncture sites in anticoagulated patients

1998; Wiley; Volume: 43; Issue: 2 Linguagem: Inglês

10.1002/(sici)1097-0304(199802)43

1097-0304

Ronald G. Carere, John G. Webb, Robert T. Miyagishima, Ognjenka Djurdev, Tanvir Ahmed, Arthur Dodek,

Central Venous Catheters and Hemodialysis

A retrospective study was conducted to determine the frequency and nature of groin complications when the Vasoseal™ (Datascope Corp., NJ) hemostasis device was used on 204 occasions to enable removal of the groin sheath in anticoagulated patients. The patients had undergone balloon angioplasty (53%), coronary stenting (20%), and diagnostic angiography (27%). Complications included vascular surgery in 5% including 2 embolized collagen plugs, failure to achieve hemostasis (2%), late external bleeding (2%), purulent discharge (1.5%), a minor ooze of blood (7%), hematomas >6 cm (6%), and hematomas ≤6 cm (7%). One or more complications occurred with 64 of 204 (30.5%) uses. Multivariate analysis identified diagnostic angiography to be associated with a reduced risk of complications [odds ratio (OR) 0.25], while stent procedure (OR 2.7) and female gender (OR 2.5) were associated with increased risk. This complication rate is similar to other reported series except for a higher rate of vascular surgery. The high incidence of anticoagulation in our study patients (94%) may explain this difference. We recommend caution and adherence to the recommended technique when the device is used in anticoagulated patients. Cathet. Cardiovasc. Diagn. 43:124–129, 1998. © 1998 Wiley-Liss, Inc.