Cardiac Catheterization Clinical Trial
Official title:
Characteristics Predictive of Success and Complications in the Use of Suture-Mediated Closure of Femoral Venous Access
Suture-mediated closure devices are effective and safe for achieving rapid hemostasis in femoral venous access site and reducing the incidence of complications associated with traditional closure methods. Furthermore, there are predictive factors(such as sheath size, obesity, procedure duration, and anticoagulation status)that we can use to assess the procedure's likelihood of success in various patients.
This is a retrospective cohort study of consecutive patients receiving suture-mediated
closure of the femoral vein following catheterization. All patients undergoing cardiac or
arterial catheterization by the Interventional Cardiovascular Medicine Service at The Brigham
and Women's hospital from 3/1/02 to the onset of the study and who had femoral venous access
during that time were considered for closure of the venous site; however, the decision to use
the closure device was left to the discretion of the physician. Contraindications to using
the closure device include a groin hematoma that had developed during the procedure and/or
difficult access due to extensive scar tissue from surgery or multiple prior vascular
accesses.
All in-hospital endpoints have been collected in the pre-existing Catheterization Laboratory
Database. Patient's data will be extracted from this database as indicated in the procedure
below. Each patient will be reviewed for clinical follow-up and the presence of adverse
events including but not limited to hematoma, thrombosis, blood loss, vascular imaging, the
need for additional procedures, and re-admissions within 30 days of closure. If necessary,
further data will be collected via a phone interview with the patients. Univariate and
multivariate analysis will be performed to determine the factors that predict inadequate or
incomplete closure or the development of complications mentioned in the section above. A
predictive model based on the identified risk factor will be developed and tested
prospectively in the next phase of this ongoing investigation.
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