Clinical application of StarClose vascular closure device in the closing of femoral artery puncture site / 介入放射学杂志

ABSTRACT

Objective To present clinical experience in using StarClose vascular closure device in patients undergoing peripheral vascular interventions. Methods StarClose vascular closure devices were used in 78 patients receiving peripheral vascular interventions in order to close the femoral areriotomies, of which the device was repeatedly used at the same puncture site in 16. Successful hemostasis and vascular complications were observed. Successful hemostasis was defined as the blood oozing completely stopped within 2 min after StarClose deployment, while failure of hemostasis was defined as the blood kept oozing over 2 min after the procedure and manual compression was needed to stop bleeding. Results The mean procedure time for StarClose deployment was (30 ? 10)sec and the mean time for hemostasis was (12 ? 11)sec. Successful rate of hemostasis was 96%, and it was 100% in patients with repeated use of StarClose device. All the patients with successful hemostasis did not need to keep their body still in 2 h. after the surgery. No serious complications occurred. Slight blood oozing was seen in 3 patients 12 h after the procedure. The occurrence of mild complications was 3.2%. Conclusion StarClose vascular closure device can be used to close the femoral puncture site after peripheral vascular interventional procedures with safety and effectiveness, moreover, it can be repeatedly used at the same puncture site.