Differences of bleedings after percutaneous coronary intervention using femoral closure and radial compression devices

Abstract: Bleedings represent most relevant complications being correlated with significant rates of adverse clinical outcomes in patientsundergoing percutaneous coronary intervention (PCI). To reduce bleeding and improve prognosis various types of vascular closuredevices (VCD) are frequently applied. This study aims to compare directly one specific femoral closure (FC) to one specific radialcompression (RC) device in patients after PCI focusing on overall and access-site bleedings as well as major adverse cardiac events(MACE).This single-center, prospective, and observational study included consecutive patients either treated by the FC (StarClose SE) orRC (TR Band) device following PCI. The primary outcome was bleeding; the secondary outcomes were MACE at 30days of followup.Two hundred patients in each group were enrolled following PCI. Access-site bleeding was significantly higher in the FC (43%)compared to the RC (30%) group (P=.001). Most common type of access-site bleeding consisted of hematomas. Of these, smalland large hematomas were significantly higher in the FC group (P<.05). No significant differences of MACE were observed in bothgroups. In multivariable logistic regression models no consistent significant association of any risk factor with bleeding complicationswas identified.Despite the use of VCD, transfemoral arterial access is still associated with a higher rates of access site bleeding consisting mostlyof hematomas compared to trans-radial access, whereas no differences of MACE were observed between FC and RC patients at 30days follow-up

Objekt anzeigen

• Standort: Deutsche Nationalbibliothek Frankfurt am Main
• Umfang: Online-Ressource
• Sprache: Englisch
• Anmerkungen: issn: 1536-5964

Beteiligte, Orts- und Zeitangaben

• Ereignis: Veröffentlichung
• (wo): Freiburg
• (wer): Universität
• (wann): 2019
• Urheber: Kim, Seung‑Hyun ; Behnes, Michael ; Baron, Sebastian ; Shchetynska-Marinova, Tetyana ; Tekinsoy, Melike ; Mashayekhi, Kambis ; Hoffmann, Ursula ; Borggrefe, Martin ; Akın, Ibrahim

Weitere Informationen

• DOI: 10.1097/md.0000000000015501
• URN: urn:nbn:de:bsz:25-freidok-1501737
• Rechteinformation: Der Zugriff auf das Objekt ist unbeschränkt möglich.