1. Comparison of TR Band™ and VasoStat™ Hemostasis Devices following Transpedal Catheterization for Lower Extremity Revascularization for Peripheral Arterial Disease.
- Author
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Kwan, Tak W., Patel, Apurva, Parikh, Roosha, Auguste, Uschi, Rosero, Hugo, Huang, Yili, Liou, Michael, Ratcliffe, Justin, and Puma, Joseph
- Subjects
HEMOSTASIS equipment ,ARTERIAL disease treatment ,REVASCULARIZATION (Surgery) ,ARTERIAL occlusions ,THROMBIN ,ARTERIAL catheterization ,PERIPHERAL vascular disease diagnosis ,PREVENTION of surgical complications ,SURGICAL complications ,TIBIAL arteries ,COMPARATIVE studies ,INTRAVENOUS catheterization ,SURGICAL hemostasis ,LEG ,RESEARCH methodology ,MEDICAL care research ,MEDICAL cooperation ,PERIPHERAL vascular diseases ,RESEARCH ,EVALUATION research ,TREATMENT effectiveness ,FALSE aneurysms ,PREVENTION ,DIAGNOSIS ,SURGERY ,EQUIPMENT & supplies - Abstract
Background: Transpedal access is increasingly utilized for peripheral vascular catheterization. There is a paucity of data on the use of radial hemostasis devices as an alternative to manual compression for achievement of hemostasis after this approach.Objective: To compare safety and efficacy of two hemostasis devices following transpedal catheterization for lower extremity revascularization for peripheral arterial disease.Methods: A consecutive cohort of patients with bilateral Rutherford 2-5 disease who underwent transpedal catheterization for peripheral vascular interventions were retrospectively analyzed. In each patient, retrograde tibial artery access was obtained, a 4 French sheath was placed, and all revascularization was performed via tibial access. In all patients, a TR Band™ (Terumo Medical, n = 215) and/or VasoStat™ (Forge Medical, n = 99) were used to apply puncture site compression, following removal of the tibial sheath until hemostasis was achieved. Safety and efficacy of each device was compared.Results: Puncture site hemostasis was achieved in all patients within 2 hours of sheath removal facilitating early discharge. Two access site pseudoaneurysms occurred within 30 days of revascularization, one of which followed TR Band™ placement and the other following VasoStat™ placement (P = 0.53). Each patient was successfully treated with ultrasound-guided thrombin injection. Loss of access site patency by duplex ultrasound occurred in 2 patients following the TR Band™ and a single patient following the VasoStat™ (P = 1.0).Conclusion: Both the TR Band™ and the VasoStat™ were effective in achieving hemostasis following transpedal catheterization with low rates of complications. [ABSTRACT FROM AUTHOR]- Published
- 2016
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