What is the role of vascular closure devices in percutaneous coronary intervention (PCI)?

Updated: Nov 27, 2019
  • Author: George A Stouffer, III, MD; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Answer

For transfemoral catheterizations, hemostasis can be achieved either by manual compression or by use of vascular closure devices. The results of four meta-analyses suggested that vascular closure devices do not decrease vascular complications, bleeding complications, or the need for blood transfusions, whereas they do decrease time to hemostasis and time to ambulation. [77, 78, 79, 80]

For transradial catheterizations, hemostasis is generally achieved with manual compression using transradial bands and patent hemostasis technique.


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