Journal of Korean Neurosurgical Society

  • 제49권3호
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  • Pages.153-156
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  • 2011
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Angio-$Seal^{TM}$ $Evolution^{TM}$ versus Manual Compression for Common Femoral Artery Puncture in Neurovascular Diagnostic Angiography: A Prospective, Non-Randomized Study

  • Chung, Joon-Ho (Department of Neurosurgery, Inha University School of Medicine) ;
  • Lee, Dong-Woo (Department of Neurosurgery, Cheju Halla General Hospital) ;
  • Kwon, Ok-Sim (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Bum-Soo (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Shin, Yong-Sam (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea)
  • 투고 : 2010.11.12
  • 심사 : 2011.03.03
  • 발행 : 2011.03.28
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초록

Objective : This prospective, non-randomized study compared the safety and efficacy of the Angio-$Seal^{TM}$ $Evolution^{TM}$ to that of manual compression for common femoral artery punctures in neurovascular diagnostic angiography. Methods : From June 2009 to September 2009, we performed 169 diagnostic trans-femoral cerebral angiographies, using either the Angio-$Seal^{TM}$ $Evolution^{TM}$ or manual compression to achieve hemostasis. We included 60 patients in this study, 30 in each group. We defined minor complications as those requiring no further treatment such as hematoma size less than 6 cm and bruise size less than 25 cm. Major complications were those requiring surgery of the femoral artery pseudoaneurysm and/or the second line increase of hospital stay even without further treatment. Results : Mean time to hemostasis was $0.42{\pm}0.04$ minutes for the angioseal and $15.83{\pm}1.63$ minutes for manual compression (p<0.001). Overall complication rate did not differ between the 2 groups. After the patients were fully mobile, at 24 hours, the rate of onset of new complication differed significantly between the 2 groups (p=0.032). In the angioseal group, 5 (16.7%) of the 30 patients experienced the onset of a new complication after 24 hours, including 3 (60.0%) of the 5 who experienced major complications. Conclusion : The Angio-$Seal^{TM}$ $Evolution^{TM}$ is effective at decreasing mean time to hemostasis, like other closing devices. However, it may not be effective at producing early ambulation and discharge, compared to manual compression, because delayed complications may occur significantly after 24 hours.

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참고문헌

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피인용 문헌

  1. Risk Factors for Puncture Site Complications After Endovascular Procedures in Patients With Peripheral Arterial Disease vol.49, pp.7, 2011, https://doi.org/10.1177/1538574415608268
  2. Morphologic Features of Puncture Sites after ExoSeal Vascular Closure Device Implantation: Changes on Follow-Up Computed Tomography vol.76, pp.5, 2011, https://doi.org/10.3348/jksr.2017.76.5.326