Vascular Closure Devices after Endovascular Procedures in Swine: A Reliable Method?

Purpose. To investigate the safety and feasibility of the use of a vascular closure device (VCD) after endovascular procedures in swine. Material and Methods. In a study on endovascular therapy, VCD (StarClose, Abbott Vascular, Il, USA) was used in 20 female swines to achieve immediate hemostasis af...

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Main Authors: P. Isfort, T. Tanaka, T. Penzkofer, P. Bruners, R. Tolba, C. K. Kuhl, A. H. Mahnken
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/514942
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author P. Isfort
T. Tanaka
T. Penzkofer
P. Bruners
R. Tolba
C. K. Kuhl
A. H. Mahnken
author_facet P. Isfort
T. Tanaka
T. Penzkofer
P. Bruners
R. Tolba
C. K. Kuhl
A. H. Mahnken
author_sort P. Isfort
collection DOAJ
description Purpose. To investigate the safety and feasibility of the use of a vascular closure device (VCD) after endovascular procedures in swine. Material and Methods. In a study on endovascular therapy, VCD (StarClose, Abbott Vascular, Il, USA) was used in 20 female swines to achieve immediate hemostasis after percutaneous right femoral artery (FA) access. 10 animals were sacrificed immediately after the study and 10 animals were sacrificed 28 days after the initial study. To ensure complete hemostasis and patency of the femoral artery, a CT-angiography of the puncture site was performed on day 1 (acute and chronic group) and day 28 (chronic group). After the sacrifice, the femoral artery was explanted and examined macroscopically for signs of VCD dysfunction. Results. Technical success rate was 100% with immediate hemostasis being achieved in all animals. No animals showed evidence of hematoma. During explantation, only small traces of coagulated blood were found in the acute group, while there were no signs of hematoma in the chronic group. CT-angiography immediately after VCD application as well as before sacrifice (chronic group) showed patency of the FA in all cases. Conclusion. The use of VCD to achieve hemostasis after endovascular studies in swine is feasible and safe.
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issn 2356-6140
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language English
publishDate 2014-01-01
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series The Scientific World Journal
spelling doaj-art-ae65d541ad6e42d4a3f7022c5d14aa2e2025-02-03T00:59:24ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/514942514942Vascular Closure Devices after Endovascular Procedures in Swine: A Reliable Method?P. Isfort0T. Tanaka1T. Penzkofer2P. Bruners3R. Tolba4C. K. Kuhl5A. H. Mahnken6Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, GermanyDepartment of Radiology, Nara Medical University, 840 Shijo-cho, Kashihra 634-8522, JapanDepartment of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, GermanyDepartment of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, GermanyInstitute of Animal Research, RWTH Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, GermanyDepartment of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, GermanyDepartment of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, GermanyPurpose. To investigate the safety and feasibility of the use of a vascular closure device (VCD) after endovascular procedures in swine. Material and Methods. In a study on endovascular therapy, VCD (StarClose, Abbott Vascular, Il, USA) was used in 20 female swines to achieve immediate hemostasis after percutaneous right femoral artery (FA) access. 10 animals were sacrificed immediately after the study and 10 animals were sacrificed 28 days after the initial study. To ensure complete hemostasis and patency of the femoral artery, a CT-angiography of the puncture site was performed on day 1 (acute and chronic group) and day 28 (chronic group). After the sacrifice, the femoral artery was explanted and examined macroscopically for signs of VCD dysfunction. Results. Technical success rate was 100% with immediate hemostasis being achieved in all animals. No animals showed evidence of hematoma. During explantation, only small traces of coagulated blood were found in the acute group, while there were no signs of hematoma in the chronic group. CT-angiography immediately after VCD application as well as before sacrifice (chronic group) showed patency of the FA in all cases. Conclusion. The use of VCD to achieve hemostasis after endovascular studies in swine is feasible and safe.http://dx.doi.org/10.1155/2014/514942
spellingShingle P. Isfort
T. Tanaka
T. Penzkofer
P. Bruners
R. Tolba
C. K. Kuhl
A. H. Mahnken
Vascular Closure Devices after Endovascular Procedures in Swine: A Reliable Method?
The Scientific World Journal
title Vascular Closure Devices after Endovascular Procedures in Swine: A Reliable Method?
title_full Vascular Closure Devices after Endovascular Procedures in Swine: A Reliable Method?
title_fullStr Vascular Closure Devices after Endovascular Procedures in Swine: A Reliable Method?
title_full_unstemmed Vascular Closure Devices after Endovascular Procedures in Swine: A Reliable Method?
title_short Vascular Closure Devices after Endovascular Procedures in Swine: A Reliable Method?
title_sort vascular closure devices after endovascular procedures in swine a reliable method
url http://dx.doi.org/10.1155/2014/514942
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