Arrhythmias & electrophysiology

Feasibility and efficacy of real-time ultrasound-guided venous closure with suture-mediated vascular closure device

Heart RhythmPublished Observational study

Authors' conclusion

Real-time ultrasound guidance can reduce device failure, access site-related complications, and time to ambulation in performing venous closure with a VCD.

Study context

Population
Patients undergoing elective catheter ablation with femoral venipuncture
Participants
226 consecutive patients
Exposure
Real-time ultrasound-guided vs non-guided venous closure with suture-mediated VCD
  • Ultrasound guidancen = 123
  • No ultrasound guidancen = 103reference
Outcome
Venous access site-related complications (major, minor or other)
Methodological detailssingle-centre, consecutive patients, historical comparison (2022 vs 2021)
  • Single-centre
  • Consecutive patients
  • Historical comparison (2022 vs 2021)

Main finding

As reported in the abstract

All venous access site-related complications

P = 0.001

Observational data: associations, not effects.

Further findings

Device failure

P = 0.048

Time to ambulation

P < 0.001

Original publication

Feasibility and efficacy of real-time ultrasound-guided venous closure with suture-mediated vascular closure device. Heart Rhythm. Published 10 April 2024. doi:10.1016/j.hrthm.2024.04.041

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