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Eur J Vasc Endovasc Surg. 2011 Aug;42(2):230-5. doi: 10.1016/j.ejvs.2011.03.011. Epub 2011 Apr 16.

Influence of use of a vascular closure device on incidence and surgical management of access site complications after percutaneous interventions.

Author information

1
Department of Vascular Surgery, Medical University Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria. josef.klocker@i-med.ac.at

Abstract

AIM:

The study aimed to evaluate vascular access site complications (ASCs) after percutaneous interventions (PIs) in our institution for changes in annual incidence and surgical management after increased usage of a vascular closure device (VCD; in all cases: Angiosealâ„¢).

MATERIAL AND METHODS:

All patients who underwent repair of arterial pseudo-aneurysms or access site stenosis/occlusion leading to leg ischaemia (LI) or new-onset disabling claudication (CI) after PIs between 2001 and 2008 were included. Annual rates of procedures and methods of repair of ASC were evaluated.

RESULTS:

After a total of 58 453 PIs, 352 patients (0.6%) were operated on for: pseudo-aneurysms (n = 300; 0.51%); and local stenosis/occlusion leading to LI/CI (n = 52; 0.09%). Numbers increased significantly with more widespread VCD use: group A (2001-2004: 2860 VCDs; 28 284 PIs; 10.1%): n = 132 (0.47%); and group B (2005-2008: 11,660 VCDs; 30,169 PIs; 38.6%): n = 220 (0.73%) (p < 0.001). In contrast to similar rates of pseudo-aneurysms (group A: n = 124; 0.44%; group B: n = 176; 0.58%; not significant), a significant increase of operations for local stenoses/occlusions was seen with widespread VCD use: n = 8 versus n = 44 (p < 0.001).

CONCLUSIONS:

In the era of VCDs, complications are rare. However, use of these devices is not without complications, and may require complex reconstructions.

PMID:
21498092
DOI:
10.1016/j.ejvs.2011.03.011
[Indexed for MEDLINE]
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