AI Article Synopsis
- - The study investigates the effectiveness of using real-time ultrasound guidance for venous closure with suture-mediated vascular closure devices (VCDs) in patients undergoing catheter ablation procedures.
- - Results showed that ultrasound guidance significantly lowered the rate of device failure and overall access site-related complications compared to traditional methods without ultrasound assistance.
- - Patients who received ultrasound-guided closure experienced faster recovery times, allowing them to ambulate more quickly than those who did not receive this guidance.
Article Abstract
Background: Venous vascular access complications are usually nonfatal but are the most common complications after transvenous catheter intervention. Vascular closure devices (VCDs) have recently become available for venous closure.
Objective: This study aimed to evaluate the feasibility and efficacy of real-time ultrasound-guided venous closure with suture-mediated VCDs in patients who underwent catheter ablation.
Methods: This single-center observational study enrolled 226 consecutive patients who underwent elective catheter ablation with femoral venipuncture. For hemostasis, vessel closure by VCD was performed with real-time ultrasound guidance after 2022 (n = 123) and without ultrasound guidance in 2021 (n = 103). The occurrence of venous access site-related complications (major, minor, or other) was compared.
Results: The rate of device failure was significantly lower in patients with ultrasound guidance than in those without (1.6% vs 6.3%; P = .048). The occurrence of all venous access site-related complications was significantly lower in patients with ultrasound guidance than in those without (4.9% vs 18.4%; P = .001). Time to ambulation was shorter in patients with ultrasound guidance than in those without (2.0 ± 0.1 hours vs 2.2 ± 0.6 hours; P < .001).
Conclusion: Real-time ultrasound guidance can reduce device failure, access site-related complications, and time to ambulation in performing venous closure with a VCD.
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| http://dx.doi.org/10.1016/j.hrthm.2024.04.041 | DOI Listing |
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