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Efficacy and safety of the preclose technique following percutaneous aortic stent-graft implantation

Authors
 Won Ho Kim ; Sanghoon Shin ; Donghoon Choi ; Yangsoo Jang ; Myeong-Ki Hong ; Young-Guk Ko 
Citation
 Journal of Endovascular Therapy, Vol.20(3) : 350~355, 2013 
Journal Title
 Journal of Endovascular Therapy 
ISSN
 1526-6028 
Issue Date
2013
Abstract
PURPOSE: To evaluate in a large patient cohort the 6-F Perclose ProGlide in conjunction with the preclose technique to seal puncture sites after percutaneous endovascular aortic repairs. METHODS: The medical records were reviewed of 367 patients (303 men; mean age 68.5±10.8 years) having 599 access site closures with the 6-F Perclose ProGlide performed in conjunction with percutaneous endovascular aortic repairs. Procedure success was defined as hemostasis with the preclose technique without the need for any ancillary procedure. Access-related major adverse events included infection, bleeding, lower leg ischemia, hematoma, pseudoaneurysm, arteriovenous fistula, embolization, laceration, femoral artery thrombosis, nerve injury, or death owing to an access site injury. RESULTS: Procedure success was achieved in 359 (97.8%) of 367 patients and in 591 (98.7%) of 599 femoral sites. Access-related major adverse events developed in 25 (6.8%) of 367 patients [26/599 (4.3%) sites]. The most frequent adverse event was a hematoma [16/367 (4.4%) patients; 17/599 (2.8%) sites], followed by pseudoaneurysm [7/367 (1.9%) patients; 7/599 (1.2%) sites]. Bleeding occurred in 6 (1.6%) of 367 patients [6/599 (1.0%) sites]. There were 2 infections, 2 distal embolizations, 1 acute femoral thrombosis, and 1 laceration at the puncture site. CONCLUSION: The preclose technique can be used to achieve hemostasis with remarkable success and low rates of adverse events.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87304
DOI
10.1583/12-4103MR2.1
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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Link
 http://jevtonline.org/doi/abs/10.1583/12-4103MR2.1
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