Antegrade use of a collagen based vascular closure device for day case peripheral stenting: when can we safely discharge the patients?
Journal Title: Hellenic Journal of Radiology - Year 2019, Vol 4, Issue 1
Abstract
Purpose: Vascular closure devices have revolutionised vascular intervention, offering early patient mobilisation after retrograde access. The purpose of this study is to assess the safety and cost saving performance of a collagen based closure device in the early mobilisation of patients that undergo antegrade peripheral stenting as day cases. Material and Methods: We retrospectively reviewed our radiology day unit database for antegrade stenting cases in a four-year period. We included 26 patients where a collagen based closure device was used. Patients were analysed for size of sheath used, Rutherford classification, degree of calcification (score from 1-4) of the access artery, amount of inraprocedureal heparin, type of stent used, time of discharge, immediate and delayed complications. Cost analysis also followed aiming to identify potential cost benefits of the device. Results: A 6 Fr sheath was used in all cases. 11/26 patients were Rutherford 5-6 classification. The degree of calcification was >3 in 20/26 patients. In all patients at least 3000 IU of heparin were used intraprocedurally. Two types of stents were used; the time of discharge was 4 hours. In two cases a small haematoma was detected but did not change the management of the patients. No delayed groin complications occurred. Bed turnover was 50% less than with the traditional 6-hour stay, leading to significant reduction of the healthcare costs. Conclusions: The use of a collagen based closure device offers satisfactory day case results for patients with advanced peripheral disease that undergo antegrade stenting, with reduction of the overall procedure cost.
Authors and Affiliations
Iftikhar Zaman, Tariq Ali, Cormac O’Neil, Renganaden Pyneeandee, Miltiadis Krokidis
Keywords
Related Articles
- EP ID EP533173
- DOI -
- Views 121
- Downloads 0
Undetected pancreatic carcinoma: retrospective analysis of missed findings at computed tomography
Purpose Our purpose was to retrospectively investigate whether prediagnostic CT scan may show suggestive findings of early pancreatic cancer. Material and Methods We searched our radiology and surgery database to identi...
Pulmonary Sarcoidosis: Spectrum of imaging findings
Sarcoidosis is a systemic chronic inflammatory disorder of unknown aetiology, characterised by non-caseating epithelioid cell granulomas. A diagnosis of the disease requires compatible clinical and imaging findings, supp...
Pancreatic ductal adenocarcinoma and local staging with MDCT: Effect of tube voltage and iodine load on assessment of vascular involvement
Purpose: In patients with pancreatic ductal adenocarcinoma (PDAC) a low-tube-voltage, high-iodine-load multidetector computed tomography (MDCT) protocol has been shown to increase tumour conspicuity compared to normal-tu...
Comparative study evaluating pain after hepatectomy versus percutaneous microwave ablation in hepatocellular carcinoma patients: retrospective analysis of a single center’s experience
Purpose: To compare post-therapeutic pain and analgesia following surgical hepatectomy versus image-guided percutaneous microwave ablation (MWA) for the treatment of hepatocellular carcinoma (HCC). Material and Methods:...
New pulmonary lesions in an oncologic patient
A 44-year-old woman with a history of right elbow osteosarcoma underwent her routine follow-up chest CT scan. She had been treated with chemotherapy (cisplatin, epirubicin and ifosfamide) and her WBC count at the time of...