vascular closure devices for femoral arterial puncture site haemostasis

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  • Cochrane Database of Systematic Reviews

    Vascular closure devices for femoral arterial puncture site

    haemostasis (Review)

    Robertson L, Andras A, Colgan F, Jackson R

    Robertson L, Andras A, Colgan F, Jackson R.

    Vascular closure devices for femoral arterial puncture site haemostasis.

    Cochrane Database of Systematic Reviews 2016, Issue 3. Art. No.: CD009541.

    DOI: 10.1002/14651858.CD009541.pub2.

    www.cochranelibrary.com

    Vascular closure devices for femoral arterial puncture site haemostasis (Review)

    Copyright 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

    http://www.cochranelibrary.com

  • T A B L E O F C O N T E N T S

    1HEADER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    1ABSTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    2PLAIN LANGUAGE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    3BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    4OBJECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    4METHODS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    6RESULTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Figure 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

    Figure 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

    Figure 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

    31DISCUSSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    35AUTHORS CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    36ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    36REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    41CHARACTERISTICS OF STUDIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    127DATA AND ANALYSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Analysis 1.1. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    1 Time to haemostasis (minutes). . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

    Analysis 1.2. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    2 Time to mobilisation (hours). . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

    Analysis 1.3. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    3 Major adverse event (any time). . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

    Analysis 1.4. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    4 Infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

    Analysis 1.5. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    5 Groin haematoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

    Analysis 1.6. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    6 Retroperitoneal haemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

    Analysis 1.7. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    7 Pseudoaneurysm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

    Analysis 1.8. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    8 Arterio-venous fistula. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

    Analysis 1.9. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    9 Deep vein thrombosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

    Analysis 1.10. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr),

    Outcome 10 Limb ischaemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

    Analysis 1.11. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr),

    Outcome 11 Femoral artery thrombosis. . . . . . . . . . . . . . . . . . . . . . . . . 141

    Analysis 1.12. Comparison 1 Collagen-based VCD versus manual or mechanical compression (sheath size 9 Fr),

    Outcome 12 Length of hospital stay (hours). . . . . . . . . . . . . . . . . . . . . . . . 142

    Analysis 2.1. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    1 Time to haemostasis (minutes). . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

    Analysis 2.2. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    2 Time to mobilisation (hours). . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

    Analysis 2.3. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    3 Major adverse event (any time). . . . . . . . . . . . . . . . . . . . . . . . . . . . 145

    Analysis 2.4. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    4 Infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146

    Analysis 2.5. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    5 Groin haematoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

    iVascular closure devices for femoral arterial puncture site haemostasis (Review)

    Copyright 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

  • Analysis 2.6. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    6 Pseudoaneurysm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148

    Analysis 2.7. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    7 Arterio-venous fistula. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

    Analysis 2.8. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    8 Deep vein thrombosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

    Analysis 2.9. Comparison 2 Metal clip-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    9 Limb ischaemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

    Analysis 3.1. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 1

    Time to haemostasis (minutes). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

    Analysis 3.2. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 2

    Time to mobilisation (hours). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

    Analysis 3.3. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 3

    Major adverse event (any time). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

    Analysis 3.4. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 4

    Infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

    Analysis 3.5. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 5

    Groin haematoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

    Analysis 3.6. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 6

    Retroperitoneal haemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

    Analysis 3.7. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 7

    Pseudoaneurysm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

    Analysis 3.8. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 8

    Arterio-venous fistula. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

    Analysis 3.9. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome 9

    Embolisation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

    Analysis 3.10. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    10 Limb ischaemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

    Analysis 3.11. Comparison 3 Suture-based VCD versus manual or mechanical compression (sheath size 9 Fr), Outcome

    11 Length of hospital stay (hours). . . . . . . . . . . . . . . . . . . . . . . . . . . 158

    Analysis 4.1. Comparison 4 Collagen-based VCD versus metal clip-based VCD: AngioSeal versus StarClose, Outcome 1

    Major adverse event (any time). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

    Analysis 4.2. Comparison 4 Collagen-based VCD versus metal clip-based VCD: AngioSeal versus StarClose, Outcome 2

    Infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160

    Analysis 4.3. Comparison 4 Collagen-based VCD versus metal clip-based VCD: AngioSeal versus StarClose, Outcome 3

    Groin haematoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160

    Analysis 4.4. Comparison 4 Collagen-based VCD versus metal clip-based VC