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January 20, 2004JAMA562 citations

Arterial Puncture Closing Devices Compared With Standard Manual Compression After Cardiac Catheterization

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MKMaria KorenyEREva RiedmüllerMNMariam Nikfardjam

Structured PICO

Do Arterial Puncture Closing Devices improve effectiveness or increase safety risks compared to standard manual compression in patients after cardiac catheterization?

P
Population
Patients undergoing cardiac catheterization (meta-analysis of 30 randomized trials)
I
Intervention
Arterial Puncture Closing Devices (APCDs)
C
Comparator
Standard manual compression
O
Outcome
Effectiveness and risk of hematoma and pseudoaneurysmsafety

Arterial puncture closing devices show only marginal effectiveness and may increase the risk of vascular complications like hematoma and pseudoaneurysm compared to standard manual compression.

Limitations

  • Many of the included randomized trials are of poor methodological quality

Abstract

Based on this meta-analysis of 30 randomized trials, many of poor methodological quality, there is only marginal evidence that APCDs are effective and there is reason for concern that these devices may increase the risk of hematoma and pseudoaneurysm.

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Cite This Study

Koreny et al. (2004) studied this question.

synapsesocial.com/papers/69d982b00d540cafc5835f39https://doi.org/10.1001/jama.291.3.350
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