Comparison of Arterial Puncture Closure Devices with Standard Manual Compression after Cardiac Catheterization at Robinson Memorial Hospital
In an effort to improve patient comfort and decrease hospital time, the use of arterial puncture closure devices after cardiac catheterization has become increasingly common. Studies have shown that the use of these devices can improve patient satisfaction and comfort by allowing for early ambulation.1-3 In addition, cost savings may be realized due to the ability to discharge patients earlier.4 A systematic review and meta-analysis comparing arterial puncture closure devices (APCDs) with standard manual compression was presented recently in the Journal of the American Medical Association. The conclusion of this meta-analysis was, ?there is only marginal evidence that APCDs are effective and there is reason for concern that these devices may increase the risk of hematoma and pseudoaneurysm?.5
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Comparison of the Histological Responses Observed at the Arterial Puncture Site After Employing Manual Compression and a New Collagen Technology to Achieve Hemostasis
The purpose of this study was to evaluate the pathobiological responses observed histologically in the skin tract and arteriotomy site 30 days after closure of porcine femoral arteries using a new sponge collagen from Datascope Corp. versus manual compression. Observations were made on 10 pigs that had femoral arteriotomy sites closed on one side using manual compression as a control while on the contra lateral side the sites were closed using a sponge collagen plug.
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Vascular Access Site Hemostasis: "An Endovascular Surgeon's Perspective" Manual Compression May Not Be Benign Part 1
I am a classically trained cardiac and vascular surgeon and a member of the Cardiovascular Institute of the South, a group in which equal clinical and equitable partnerships have been formed between cardiologists and surgeons. This group actually encompasses approximately 45 cardiologists and 9 cardiovascular surgeons who work intimately together, so I learned long ago to respect the cath lab.
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The Cleveland Regional Medical Center: Experience with the Neptune Pad
The Cleveland Regional Medical Center: Experience with the Neptune Pad Feature: The Cleveland Regional Medical Center: Experience with the Neptune Pad - Mark Paquin, Review by Daniel P. Link, MD Closure Devices and the Cath Lab of the 21st Century It has been close to a decade since the first vascular hemostasis device was approved by the FDA for commercial use. Data from a recently conducted 58-center closure device study notes that on average, more than half of the centers used closure ...
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In Brief: Original Research Abstracts from the Journal of Invasive Cardiology
The following abstracts are reprinted with permission from the December 2002, January 2002 and February 2003 issues of the Journal of Invasive Cardiology.
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Cath Lab Digest Email Discussion Group
Cath Lab Digest Email Discussion Group Feature: Cath Lab Digest Email Discussion Group - Discussion group members responded to the questions below, and emails are included for any questions readers may have regarding a particular lab? d like to join our group, please send an email to: cathlabdigest@hotmail.com Current question: Utilizing Manual Compression Does your hospital use manual compression as a closure technique in their cath lab, and if so, would you be willing to share your protocol...
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Groin Complications Thirty Days Post Cath Lab Procedure Following Hemostasis: Results of Manual Pressure Versus An Arterial Closure Device
The following data was tracked: ? Of the 91 interventions; ? Sheath utilization breaks down as following: ?
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COMMENTARY: Comparison of the Histological Responses Observed at the Arterial Puncture Site After Employing Manual Compression and a New Collagen Technology to Achieve Hemostasis
In their article, ?Comparison of the Histological Responses Observed at the Arterial Puncture Site After Employing Manual Compression and a New Collagen Technology to Achieve Hemostasis,? Silver et al. (p. 52-58) compare the histopathology of healing in manually compressed and collagen sealed arteriotomy in a pig model.
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Erogonomics Revisited: Carpal Tunnel Syndrome
This is the first article of short series, which sets the groundwork for investigation into the potential injuries, specifically carpal tunnel syndrome, we as invasive specialists in the field might develop as we care for our patients. The second article will deal with the scientific data that the National Institute for Occupational Safety and Health (NIOSH) scientists and our cath lab personnel at Washington Adventist Hospital will be collecting. That data, and any intervention and protection from injury practices will be developed, collated, and published in the future.
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Research Update: Original Research Abstracts from The Journal of Invasive Cardiology, October 2005 ? December 2005
METHODS: Thirty patients undergoing transradial coronary intervention (Group A: 15 de novo procedures, Group B: 15 previous transradial procedures) underwent radial artery intravascular ultrasound (IVUS) before catheter insertion. We sought to investigate whether abciximab can reduce in-stent restenosis after coronary stenting in diabetic patients. CONCLUSION: Abciximab does not reduce angiographic restenosis or TLR in type 2 diabetic patients undergoing nonurgent coronary stenting.
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