Arrhythmias & electrophysiology

Vascular access complications after catheter ablation of ventricular arrhythmias: Impact of vascular closure devices

Heart RhythmPublished Retrospective cohort study

Main finding · Vascular complicationsResult — go to the resultOdds ratio 0.69 95% CI 0.48–0.96

Authors' conclusion

In patients undergoing CA of VAs, Complete-VCD is associated with lower rates of vascular-related complications compared with MC or Partial-VCD.

Study context

Population
Patients undergoing catheter ablation of ventricular arrhythmias, 2018–2022procedures in 872 patients
Participants
1,016 procedures
Exposure
Complete-VCD vs Partial-VCD vs manual compression for vascular access haemostasis
  • MCn = 192reference
  • Partial-VCDn = 275
  • Complete-VCDn = 549
Outcome
Vascular complications (minor: no intervention required; major: intervention required)
Methodological detailsconsecutive procedures, ultrasound-guided access
  • Consecutive procedures
  • Ultrasound-guided access

Main finding

Vascular complications

Odds ratio

0.69

95% CI 0.48–0.96

P = 0.036

By group

Complete-VCDvs MC
OR 0.69 (95% CI 0.48–0.96); P = 0.036

As reported in the abstract

Observational data: associations, not effects.

Original publication

Vascular access complications after catheter ablation of ventricular arrhythmias: Impact of vascular closure devices. Heart Rhythm. Published 6 September 2024. doi:10.1016/j.hrthm.2024.09.001

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