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Title: Clinical experience of StarClose vascular closure device in patients with first and recurrent femoral punctures
Authors: Tay, E.L.-W.
Co, M.
Tai, B.-C. 
Lee, Y.P.
Low, A.
Lim, Y.-T.
Tan, H.-C.
Lee, C.-H.
Issue Date: Feb-2008
Citation: Tay, E.L.-W., Co, M., Tai, B.-C., Lee, Y.P., Low, A., Lim, Y.-T., Tan, H.-C., Lee, C.-H. (2008-02). Clinical experience of StarClose vascular closure device in patients with first and recurrent femoral punctures. Journal of Interventional Cardiology 21 (1) : 67-73. ScholarBank@NUS Repository.
Abstract: Objective: We present our clinical experience of StarClose in patients undergoing coronary interventions, including its use in patients after repeated puncture of the same femoral access site. Background: The StarClose is a novel vascular closure device that deploys a small, flexible, circumferential nitinol clip onto the femoral artery surface. Methods: In this study, 103 consecutive patients (24% with repeated punctures) who underwent percutaneous coronary intervention and received a StarClose were followed up prospectively. The patients were assessed for vascular complications prior to hospital discharge. Device success, based on time-to-hemostasis, was divided into (1) immediate success: hemostasis achieved immediately after StarClose deployment without the need for adjunctive manual compression, (2) partial success: occurrence of minor oozing after StarClose deployment and hemostasis achieved after 3 minutes. Results: Immediate success, partial success, and device failure rates were 74% (n = 68), 16% (n = 15), and 10% (n = 9), respectively. There were no major complications attributable to the StarClose device. There were 10 (9.7%) cases of minor complications; all were recurrent wound bleeding requiring manual compression in the wards. Among these 10 cases of recurrent bleeding, 5 (50%) had initial device success (immediate success, n = 2, partial success, n = 3) in the catheterization laboratory. The risk for recurrent bleeding was 2.9% after immediate device success and 20.0% after partial device success. Conclusion: Our study found no major complications but a 10% failure rate and a 9.7% rate of minor complications. Close surveillance is important as there is a risk for recurrent bleeding, especially in patients with partial device success as defined in this report. © Authors.
Source Title: Journal of Interventional Cardiology
ISSN: 08964327
DOI: 10.1111/j.1540-8183.2007.00291.x
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