Usefulness of ‘figure-of-eight’ suture to achieve haemostasis after removal of 15-French calibre femoral venous sheath in patients undergoing cryoablation
Why the study?
Does the 'figure-of-eight' suture reduce time to hemostasis and access site complications compared to manual compression in patients undergoing cryoablation?
Population
200 patients with symptomatic atrial fibrillation undergoing initial cryoablation procedure, anticoagulated…
Comparison
'Figure-of-eight' suture for immediate closure… vs Conventional manual compression.
Design
Cohort
Follow-up
3 months
Authors
Discussion
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Member takes
Implication
Supports figure-of-eight suture for rapid hemostasis after large-bore access in anticoagulated patients; leaves open randomized confirmation of complication reduction.
Structured PICO
Does the 'figure-of-eight' suture reduce time to hemostasis and access site complications compared to manual compression in patients undergoing cryoablation?
P
Population
200 patients with symptomatic atrial fibrillation (48% female, mean age 55 ± 12.4 years, 77% paroxysmal AF) undergoing initial cryoablation procedure, anticoagulated with heparin during the procedure.
I
Intervention
'Figure-of-eight' (FoE) suture for immediate closure of 15-French right femoral venous access after sheath removal.
C
Comparator
Conventional manual compression.
O
Outcome
Time to hemostasis and vascular access site complications (haematoma, re-bleeding, fistula formation, or thrombosis) at immediate and 3-month follow-up.safety
The 'figure-of-eight' suture is a simple, safe, and highly effective technique for achieving immediate hemostasis after removal of large-bore (15-Fr) femoral venous sheaths in fully anticoagulated patients undergoing cryoablation.
Cite This Study
Aytemir et al. (2015) studied this question.