Clip-based arterial haemostasis after antegrade common femoral artery puncture

Cecilia Fantoni, Massimo Medda, Nadia Mollichelli, Ana Neagu, Silvia Briganti, Francesco Lo Monaco, Massimo Baravelli, Luigi Inglese

Research output: Contribution to journalArticle

Abstract

Background: Given the frequent involvement of infra-popliteal arteries, an ipsilateral antegrade common femoral artery puncture (ACFAP) is usually preferred to a contralateral retrograde femoral access for percutaneous transluminal angioplasty (PTA) in patients with critical limb ischemia (CLI). Because of the frequent difficulty to get a sufficient manual pressure on the puncture site, ACFAP is burdened by a high number of bleeding local complications, including retroperitoneal haematoma. We report a series of patients who consecutively received a clip-based arterial closure device after ACFAP and ipsilateral PTA for CLI. Methods: Thirty patients (73 ± 6 years; 18 men; 100% diabetes) admitted to our hospital because of CLI consecutively underwent peripheral PTA after an ACFAP and received a clip-based arterial closure device. Time to haemostasis was defined as the interval elapsed between clip deployment and first observed haemostasis. All patients were mobilized after 6 h. Follow-up was 30 days. Results: All patients were on double anti-platelet therapy. At the end of the procedure, Activation Clotting Time was 226 ± 37 s. Procedural success in delivering the clip was 100%. Time to haemostasis was 21 ± 19 s. No major local vascular complications and in particular no retroperitoneal bleeding were documented. All patients could be discharged within the following 3 days. No major complications were noted during a 30 days follow-up. Conclusions: The use of a clip-based arterial closure device after ACFAP for peripheral PTA in CLI seems to be safe and effective.

Original languageEnglish
Pages (from-to)427-429
Number of pages3
JournalInternational Journal of Cardiology
Volume128
Issue number3
DOIs
Publication statusPublished - Aug 29 2008

Fingerprint

Femoral Artery
Hemostasis
Punctures
Surgical Instruments
Angioplasty
Ischemia
Extremities
Equipment and Supplies
Hemorrhage
Popliteal Artery
Thigh
Hematoma
Blood Vessels
Blood Platelets
Pressure

Keywords

  • Antegrade arterial puncture
  • Arterial closure device
  • Critical limb ischemia
  • Peripheral percutaneous angioplasty

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Fantoni, C., Medda, M., Mollichelli, N., Neagu, A., Briganti, S., Monaco, F. L., ... Inglese, L. (2008). Clip-based arterial haemostasis after antegrade common femoral artery puncture. International Journal of Cardiology, 128(3), 427-429. https://doi.org/10.1016/j.ijcard.2007.12.111

Clip-based arterial haemostasis after antegrade common femoral artery puncture. / Fantoni, Cecilia; Medda, Massimo; Mollichelli, Nadia; Neagu, Ana; Briganti, Silvia; Monaco, Francesco Lo; Baravelli, Massimo; Inglese, Luigi.

In: International Journal of Cardiology, Vol. 128, No. 3, 29.08.2008, p. 427-429.

Research output: Contribution to journalArticle

Fantoni, C, Medda, M, Mollichelli, N, Neagu, A, Briganti, S, Monaco, FL, Baravelli, M & Inglese, L 2008, 'Clip-based arterial haemostasis after antegrade common femoral artery puncture', International Journal of Cardiology, vol. 128, no. 3, pp. 427-429. https://doi.org/10.1016/j.ijcard.2007.12.111
Fantoni C, Medda M, Mollichelli N, Neagu A, Briganti S, Monaco FL et al. Clip-based arterial haemostasis after antegrade common femoral artery puncture. International Journal of Cardiology. 2008 Aug 29;128(3):427-429. https://doi.org/10.1016/j.ijcard.2007.12.111
Fantoni, Cecilia ; Medda, Massimo ; Mollichelli, Nadia ; Neagu, Ana ; Briganti, Silvia ; Monaco, Francesco Lo ; Baravelli, Massimo ; Inglese, Luigi. / Clip-based arterial haemostasis after antegrade common femoral artery puncture. In: International Journal of Cardiology. 2008 ; Vol. 128, No. 3. pp. 427-429.
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abstract = "Background: Given the frequent involvement of infra-popliteal arteries, an ipsilateral antegrade common femoral artery puncture (ACFAP) is usually preferred to a contralateral retrograde femoral access for percutaneous transluminal angioplasty (PTA) in patients with critical limb ischemia (CLI). Because of the frequent difficulty to get a sufficient manual pressure on the puncture site, ACFAP is burdened by a high number of bleeding local complications, including retroperitoneal haematoma. We report a series of patients who consecutively received a clip-based arterial closure device after ACFAP and ipsilateral PTA for CLI. Methods: Thirty patients (73 ± 6 years; 18 men; 100{\%} diabetes) admitted to our hospital because of CLI consecutively underwent peripheral PTA after an ACFAP and received a clip-based arterial closure device. Time to haemostasis was defined as the interval elapsed between clip deployment and first observed haemostasis. All patients were mobilized after 6 h. Follow-up was 30 days. Results: All patients were on double anti-platelet therapy. At the end of the procedure, Activation Clotting Time was 226 ± 37 s. Procedural success in delivering the clip was 100{\%}. Time to haemostasis was 21 ± 19 s. No major local vascular complications and in particular no retroperitoneal bleeding were documented. All patients could be discharged within the following 3 days. No major complications were noted during a 30 days follow-up. Conclusions: The use of a clip-based arterial closure device after ACFAP for peripheral PTA in CLI seems to be safe and effective.",
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AU - Monaco, Francesco Lo

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