Ultrasound-guided femoral access in patients with vascular closure devices: a prespecified analysis of the randomised UNIVERSAL trial
Authors' conclusion
In patients receiving a VCD after coronary procedures, US-guided femoral access was associated with fewer bleeding and vascular complications compared to femoral access without US guidance.
Study context
- Population
- Patients undergoing femoral arterial access for coronary procedures, by vascular closure device (VCD) use328 (52.8%) received a VCD
- Participants
- 621 patients
- Comparison
- Ultrasound (US)-guided vs non-US-guided femoral access
- Primary endpoint
- Composite of major BARC 2, 3 or 5 bleeding and vascular complications
- Follow-up
- 30 days
Methodological detailsmulticentre, 1:1 randomisation, stratified for planned VCD use
- Multicentre
- 1:1 randomisation
- Stratified for planned VCD use
Primary result
As reported in the abstract
Major bleeding or vascular complications, VCD subgroup
US-guided vs Non-US-guidedOdds ratio (95% CI)
VCD subgroup
0.44(0.23–0.82)
No VCD subgroup: 20/141 [14.2%] vs 13/152 [8.6%]
1.76(0.80–4.03)
Original publication
Ultrasound-guided femoral access in patients with vascular closure devices: a prespecified analysis of the randomised UNIVERSAL trial. EuroIntervention. Published 15 May 2023. doi:10.
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