Peter C Kamusella1, Christopher W Lüdtke1, Fabian Scheer1, Reimer Andresen2, Christian Wissgott3. 1. Dr. med. Institute of Diagnostic and Interventional Radiology/ Neuroradiology Westküstenklinikum Heide - Academic Teaching Hospital of the Universities of Kiel , Lübeck and Hamburg, Heide, Germany . 2. Professor, Institute of Diagnostic and Interventional Radiology/ Neuroradiology Westküstenklinikum Heide - Academic Teaching Hospital of the Universities of Kiel , Lübeck and Hamburg, Heide, Germany . 3. PD Dr. med. Institute of Diagnostic and Interventional Radiology/ Neuroradiology Westküstenklinikum Heide - Academic Teaching Hospital of the Universities of Kiel , Lübeck and Hamburg, Heide, Germany .
Abstract
INTRODUCTION: Endovascular procedures have increased for different indications over the recent years. To achieve a safe haemostasis after arterial puncture and for more comfort for the patients different vascular closure devices have been developed. AIM: To evaluate the effectiveness and safety of a percutaneous closure system based on a matrix patch for achieving haemostasis. MATERIALS AND METHODS: In this study from 2014 to 2015 a percutaneous vascular closure system Femoral Introducer Sheath and Haemostasis (FISH) was used in 54 patients (mean age 69.0±10.7 years), in an antegrade and retrograde technique within the context of an angiographic intervention. The system was used in conjunction with transfemoral approaches with a sheath size of 6F. Postinterventionally (on the following day and after 6 weeks), follow-up was conducted clinically and using colour coded ultrasound. RESULTS: Immediate haemostasis was achieved in 50/54 patients (92.6 %). In 4 cases, an immediate haemostasis was not achieved. In these cases, manual compression was successful. There was one major complication, a retroperitoneal bleeding requiring transfusion. Minor complications were not observed. CONCLUSION: Safe and effective haemostasis is possible with the percutaneous FISH closure system at puncture sizes of 6 F. An immediate re-puncture after using FISH is possible.
INTRODUCTION: Endovascular procedures have increased for different indications over the recent years. To achieve a safe haemostasis after arterial puncture and for more comfort for the patients different vascular closure devices have been developed. AIM: To evaluate the effectiveness and safety of a percutaneous closure system based on a matrix patch for achieving haemostasis. MATERIALS AND METHODS: In this study from 2014 to 2015 a percutaneous vascular closure system Femoral Introducer Sheath and Haemostasis (FISH) was used in 54 patients (mean age 69.0±10.7 years), in an antegrade and retrograde technique within the context of an angiographic intervention. The system was used in conjunction with transfemoral approaches with a sheath size of 6F. Postinterventionally (on the following day and after 6 weeks), follow-up was conducted clinically and using colour coded ultrasound. RESULTS: Immediate haemostasis was achieved in 50/54 patients (92.6 %). In 4 cases, an immediate haemostasis was not achieved. In these cases, manual compression was successful. There was one major complication, a retroperitoneal bleeding requiring transfusion. Minor complications were not observed. CONCLUSION: Safe and effective haemostasis is possible with the percutaneous FISH closure system at puncture sizes of 6 F. An immediate re-puncture after using FISH is possible.
Authors: Jack M Boschewitz; Magnus Andersson; Claas P Naehle; Hans H Schild; Kai Wilhelm; Carsten Meyer Journal: J Vasc Interv Radiol Date: 2013-05 Impact factor: 3.464
Authors: Anthony A Bavry; Russell E Raymond; Deepak L Bhatt; Charles E Chambers; Andrew J DeNardo; James B Hermiller; Paul R Myers; Douglas E Pitts; John A Scott; Scott J Savader; Steven Steinhubl Journal: J Invasive Cardiol Date: 2008-04 Impact factor: 2.022