Arrhythmias & electrophysiology
Preclose Versus Postclose Using Suture-Mediated Vascular Closure System for Catheter Ablation With Femoral Vein Access
Authors' conclusion
In femoral vein access using the single-suture technique with ProGlide/ProStyle, the preclose technique presented a higher hemostasis rate than the postclose technique, without compromising safety.
Study context
- Population
- Patients undergoing elective catheter ablation via femoral vein with 8- to 13-F sheath
- Participants
- 282 patients
- Comparison
- Preclose vs postclose suture-mediated vascular closure
- Preclosen = 141
- Postclosen = 141reference
- Primary endpoint
- Efficacy: rebleeding requiring recompression; safety: any major complication within 90 days
Methodological detailsDuplex ultrasound on days 1 and 90 to evaluate vascular complications
- Duplex ultrasound on days 1 and 90 to evaluate vascular complications
Primary result
As reported in the abstract
Rebleeding requiring recompression (primary efficacy)
P = 0.03
Secondary outcomes
Time to hemostasis
P = 0.02
Safety
Any minor complication (secondary safety) · 90 days
P = 0.73
- Any major complication (primary safety) · 90 days
- P = 1.00
- Any major complication (primary safety): 5 per group lost to follow-up at 90 days
Any major complication (primary safety) · 90 days
- Similar in both groups: 1 of 136 [0.7%]
Original publication
Preclose Versus Postclose Using Suture-Mediated Vascular Closure System for Catheter Ablation With Femoral Vein Access. JACC Clin Electrophysiol. Published 22 May 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →