Real-time ultrasound-guided hemostasis using suture-mediated closure device.

IF 1.6 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-01-01 Epub Date: 2023-12-05 DOI:10.1177/11297298231215843

JungWon Kwak, Sung Bum Cho

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引用次数: 0

Abstract

Purpose: Suture-mediated hemostasis device takes a long time to train and have limitations in finding appropriate compression point depending on the tactile sense of the hands. If the appropriate compression point is determined using ultrasound and the instrument is used under ultrasound guidance, it is expected to reduce the technical failure and additional manual compression.

Materials and methods: This retrospective study included 104 patients in whom the ProGlide vascular closure device (Abbott Vascular, Redwood City, CA, USA) was deployed to close common femoral artery access between January 2022 and June 2022. Ultrasound-guided hemostasis was performed in 54 patients and 50 conventional hemostasis was performed. We analyzed the medical records (procedure, patient body mass index, coagulation function, visual imaging, ultrasound imaging, time to achieve hemostasis) and post-treatment medical records (progress records, nursing records) to investigate the technical success rate and complications (hematoma, pseudoaneurysm formation, SFA occlusion, access site infection) of the procedure.

Results: Technical success rate was 52/54 (Ultrasound guided group) and 47/50 (conventional group), respectively (p > 0.05). Mean hemostasis time was 271 s (US guided group) and 317 s (conventional group), respectively (p > 0.05). Additional manual compression was applied in 7/54 (US guided group) and 15/50 (conventional group) (p < 0.05). In both groups, complications such as hematoma formation, access site infection and SFA occlusion did not occur.

Conclusion: Using ultrasound guidance when using the suture mediated closing device reduces the frequency of additional manual compression without increased risk of complication.

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使用缝合器在超声引导下实时止血。

目的：缝合止血设备需要长时间的培训，并且在根据手的触觉寻找适当的压迫点方面存在局限性。如果使用超声波确定适当的压迫点，并在超声波引导下使用仪器，有望减少技术失败和额外的人工压迫：这项回顾性研究纳入了在 2022 年 1 月至 2022 年 6 月期间使用 ProGlide 血管闭合器（Abbott Vascular，Redwood City，CA，USA）闭合股总动脉通路的 104 例患者。54名患者在超声引导下进行了止血，50名患者进行了常规止血。我们分析了医疗记录（手术过程、患者体重指数、凝血功能、视觉成像、超声成像、止血时间）和治疗后医疗记录（进展记录、护理记录），以调查手术的技术成功率和并发症（血肿、假性动脉瘤形成、SFA闭塞、通路部位感染）：技术成功率分别为52/54（超声引导组）和47/50（传统组）（P>0.05）。平均止血时间分别为 271 秒（超声引导组）和 317 秒（传统组）（P > 0.05）。有 7/54 例（超声引导组）和 15/50 例（传统组）需要进行额外的人工压迫（p 结论：超声引导组和传统组的止血时间相同：在使用缝合器时使用超声引导可减少额外人工压迫的频率，且不会增加并发症风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.