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Comparison of costs and safety of a suture-mediated closure device with conventional manual compression after coronary artery interventions
The aim of this study was to assess costs and safety of immediate femoral sheath removal and closure with a suture‐mediated closure device (Perclose, Menlo Park, CA) in patients undergoing elective (PCI). A total of 193 patients was prospectively randomized to immediate arterial sheath removal and a...
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| Published in: | Catheterization and cardiovascular interventions 2002-11, Vol.57 (3), p.297-302 |
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| container_title | Catheterization and cardiovascular interventions |
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| creator | Rickli, Hans Unterweger, Martin Sütsch, Gabor Brunner-La Rocca, Hans Peter Sagmeister, Markus Ammann, Peter Amann, Franz W. |
| description | The aim of this study was to assess costs and safety of immediate femoral sheath removal and closure with a suture‐mediated closure device (Perclose, Menlo Park, CA) in patients undergoing elective (PCI). A total of 193 patients was prospectively randomized to immediate arterial sheath removal and access site closure with a suture‐mediated closure device (SMC; n = 96) or sheath removal 4 hr after PCI followed by manual compression (MC; n = 97). In the SMC group, patients were ambulated 4 hr after elective PCI if hemostasis was achieved. In the MC group, patients were ambulated the day after the procedure. In addition to safety, total direct costs including physician and nursing time, infrastructure, and the device were assessed in both groups. Total direct costs were significantly (all P < 0.001) lower in the SMC group. Successful hemostasis without major complication was achieved in all patients. The time to achieve hemostasis was significantly shorter in the SMC group (7.1 ± 3.4 vs. 22.9 ± 14.0 min; P < 0.01) and 85% of SMC patients were ambulated on the day of intervention. Suture‐mediated closure allows a reduction in hospitalization time, leading to significant cost savings due to decreased personnel and infrastructural demands. In addition, the use of SMC is safe and convenient to the patients. Cathet Cardiovasc Intervent 2002;57:297–302. © 2002 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ccd.10294 |
| format | article |
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A total of 193 patients was prospectively randomized to immediate arterial sheath removal and access site closure with a suture‐mediated closure device (SMC; n = 96) or sheath removal 4 hr after PCI followed by manual compression (MC; n = 97). In the SMC group, patients were ambulated 4 hr after elective PCI if hemostasis was achieved. In the MC group, patients were ambulated the day after the procedure. In addition to safety, total direct costs including physician and nursing time, infrastructure, and the device were assessed in both groups. Total direct costs were significantly (all P < 0.001) lower in the SMC group. Successful hemostasis without major complication was achieved in all patients. The time to achieve hemostasis was significantly shorter in the SMC group (7.1 ± 3.4 vs. 22.9 ± 14.0 min; P < 0.01) and 85% of SMC patients were ambulated on the day of intervention. Suture‐mediated closure allows a reduction in hospitalization time, leading to significant cost savings due to decreased personnel and infrastructural demands. In addition, the use of SMC is safe and convenient to the patients. Cathet Cardiovasc Intervent 2002;57:297–302. © 2002 Wiley‐Liss, Inc.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.10294</identifier><identifier>PMID: 12410501</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>access site ; Aged ; Angioplasty, Balloon, Coronary - economics ; Angioplasty, Balloon, Coronary - instrumentation ; arterial puncture site ; Bandages - economics ; cardiac catheterization ; Coronary Artery Disease - complications ; Coronary Artery Disease - economics ; Coronary Artery Disease - therapy ; costs ; Costs and Cost Analysis ; Early Ambulation ; Equipment Safety - economics ; Female ; Follow-Up Studies ; Hemoglobins - metabolism ; Hemostasis, Surgical - economics ; Hemostasis, Surgical - instrumentation ; Humans ; Male ; Middle Aged ; Postoperative Complications - economics ; Postoperative Complications - etiology ; Prospective Studies ; Suture Techniques - economics ; Suture Techniques - instrumentation ; Treatment Outcome ; vascular closure device</subject><ispartof>Catheterization and cardiovascular interventions, 2002-11, Vol.57 (3), p.297-302</ispartof><rights>Copyright © 2002 Wiley‐Liss, Inc.</rights><rights>Copyright 2002 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3944-2c99feb2cf8619cfec9a7953311fb0c45f060ef1f481f4892b4077300b9b57af3</citedby><cites>FETCH-LOGICAL-c3944-2c99feb2cf8619cfec9a7953311fb0c45f060ef1f481f4892b4077300b9b57af3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fccd.10294$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.10294$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12410501$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rickli, Hans</creatorcontrib><creatorcontrib>Unterweger, Martin</creatorcontrib><creatorcontrib>Sütsch, Gabor</creatorcontrib><creatorcontrib>Brunner-La Rocca, Hans Peter</creatorcontrib><creatorcontrib>Sagmeister, Markus</creatorcontrib><creatorcontrib>Ammann, Peter</creatorcontrib><creatorcontrib>Amann, Franz W.</creatorcontrib><title>Comparison of costs and safety of a suture-mediated closure device with conventional manual compression after coronary artery interventions</title><title>Catheterization and cardiovascular interventions</title><addtitle>Cathet. Cardiovasc. Intervent</addtitle><description>The aim of this study was to assess costs and safety of immediate femoral sheath removal and closure with a suture‐mediated closure device (Perclose, Menlo Park, CA) in patients undergoing elective (PCI). A total of 193 patients was prospectively randomized to immediate arterial sheath removal and access site closure with a suture‐mediated closure device (SMC; n = 96) or sheath removal 4 hr after PCI followed by manual compression (MC; n = 97). In the SMC group, patients were ambulated 4 hr after elective PCI if hemostasis was achieved. In the MC group, patients were ambulated the day after the procedure. In addition to safety, total direct costs including physician and nursing time, infrastructure, and the device were assessed in both groups. Total direct costs were significantly (all P < 0.001) lower in the SMC group. Successful hemostasis without major complication was achieved in all patients. The time to achieve hemostasis was significantly shorter in the SMC group (7.1 ± 3.4 vs. 22.9 ± 14.0 min; P < 0.01) and 85% of SMC patients were ambulated on the day of intervention. Suture‐mediated closure allows a reduction in hospitalization time, leading to significant cost savings due to decreased personnel and infrastructural demands. In addition, the use of SMC is safe and convenient to the patients. Cathet Cardiovasc Intervent 2002;57:297–302. © 2002 Wiley‐Liss, Inc.</description><subject>access site</subject><subject>Aged</subject><subject>Angioplasty, Balloon, Coronary - economics</subject><subject>Angioplasty, Balloon, Coronary - instrumentation</subject><subject>arterial puncture site</subject><subject>Bandages - economics</subject><subject>cardiac catheterization</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - economics</subject><subject>Coronary Artery Disease - therapy</subject><subject>costs</subject><subject>Costs and Cost Analysis</subject><subject>Early Ambulation</subject><subject>Equipment Safety - economics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hemoglobins - metabolism</subject><subject>Hemostasis, Surgical - economics</subject><subject>Hemostasis, Surgical - instrumentation</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - economics</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>Suture Techniques - economics</subject><subject>Suture Techniques - instrumentation</subject><subject>Treatment Outcome</subject><subject>vascular closure device</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNp1kEtv1DAUha0K1JbCgj-AvEJiEepHHuMlCtAWjaiq8tpZjnMtXJJ48HXazm_gT-NhUlixsO710XeOrg4hzzl7zRkTp9b2eRGqPCDHvBKiaET97dGyc1XWR-QJ4g1jTNVCHZIjLkrOKsaPya82jBsTPYaJBkdtwITUTD1F4yBtd5qhOKc5QjFC702CntohYBZoD7feAr3z6Xt2TrcwJR8mM9DRTHMeNmdHQMwiNS5BzErMQNxSE_N3S_2Ux-LDp-SxMwPCs2WekM_v331qz4v15dlF-2ZdWKnKshBWKQedsG5Vc2UdWGUaVUnJueuYLSvHagaOu3K1e0p0JWsayVinuqoxTp6Ql_vcTQw_Z8CkR48WhsFMEGbUuT3ZyFWdwVd70MaAGMHpTfRjPl9zpnfN69y8_tN8Zl8soXOXi_pHLlVn4HQP3PkBtv9P0m379iGy2Ds8Jrj_6zDxh64b2VT668cz_WX1QV6xda2v5W_QEp_I</recordid><startdate>200211</startdate><enddate>200211</enddate><creator>Rickli, Hans</creator><creator>Unterweger, Martin</creator><creator>Sütsch, Gabor</creator><creator>Brunner-La Rocca, Hans Peter</creator><creator>Sagmeister, Markus</creator><creator>Ammann, Peter</creator><creator>Amann, Franz W.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200211</creationdate><title>Comparison of costs and safety of a suture-mediated closure device with conventional manual compression after coronary artery interventions</title><author>Rickli, Hans ; Unterweger, Martin ; Sütsch, Gabor ; Brunner-La Rocca, Hans Peter ; Sagmeister, Markus ; Ammann, Peter ; Amann, Franz W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3944-2c99feb2cf8619cfec9a7953311fb0c45f060ef1f481f4892b4077300b9b57af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>access site</topic><topic>Aged</topic><topic>Angioplasty, Balloon, Coronary - economics</topic><topic>Angioplasty, Balloon, Coronary - instrumentation</topic><topic>arterial puncture site</topic><topic>Bandages - economics</topic><topic>cardiac catheterization</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - economics</topic><topic>Coronary Artery Disease - therapy</topic><topic>costs</topic><topic>Costs and Cost Analysis</topic><topic>Early Ambulation</topic><topic>Equipment Safety - economics</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hemoglobins - metabolism</topic><topic>Hemostasis, Surgical - economics</topic><topic>Hemostasis, Surgical - instrumentation</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - economics</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>Suture Techniques - economics</topic><topic>Suture Techniques - instrumentation</topic><topic>Treatment Outcome</topic><topic>vascular closure device</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rickli, Hans</creatorcontrib><creatorcontrib>Unterweger, Martin</creatorcontrib><creatorcontrib>Sütsch, Gabor</creatorcontrib><creatorcontrib>Brunner-La Rocca, Hans Peter</creatorcontrib><creatorcontrib>Sagmeister, Markus</creatorcontrib><creatorcontrib>Ammann, Peter</creatorcontrib><creatorcontrib>Amann, Franz W.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rickli, Hans</au><au>Unterweger, Martin</au><au>Sütsch, Gabor</au><au>Brunner-La Rocca, Hans Peter</au><au>Sagmeister, Markus</au><au>Ammann, Peter</au><au>Amann, Franz W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of costs and safety of a suture-mediated closure device with conventional manual compression after coronary artery interventions</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Cathet. Cardiovasc. Intervent</addtitle><date>2002-11</date><risdate>2002</risdate><volume>57</volume><issue>3</issue><spage>297</spage><epage>302</epage><pages>297-302</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><notes>istex:01829D8F560AB84692096C827B33F5778698EA1D</notes><notes>ark:/67375/WNG-V8J3Q0L6-S</notes><notes>ArticleID:CCD10294</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>ObjectType-News-3</notes><notes>content type line 23</notes><abstract>The aim of this study was to assess costs and safety of immediate femoral sheath removal and closure with a suture‐mediated closure device (Perclose, Menlo Park, CA) in patients undergoing elective (PCI). A total of 193 patients was prospectively randomized to immediate arterial sheath removal and access site closure with a suture‐mediated closure device (SMC; n = 96) or sheath removal 4 hr after PCI followed by manual compression (MC; n = 97). In the SMC group, patients were ambulated 4 hr after elective PCI if hemostasis was achieved. In the MC group, patients were ambulated the day after the procedure. In addition to safety, total direct costs including physician and nursing time, infrastructure, and the device were assessed in both groups. Total direct costs were significantly (all P < 0.001) lower in the SMC group. Successful hemostasis without major complication was achieved in all patients. The time to achieve hemostasis was significantly shorter in the SMC group (7.1 ± 3.4 vs. 22.9 ± 14.0 min; P < 0.01) and 85% of SMC patients were ambulated on the day of intervention. Suture‐mediated closure allows a reduction in hospitalization time, leading to significant cost savings due to decreased personnel and infrastructural demands. In addition, the use of SMC is safe and convenient to the patients. Cathet Cardiovasc Intervent 2002;57:297–302. © 2002 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12410501</pmid><doi>10.1002/ccd.10294</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | access site Aged Angioplasty, Balloon, Coronary - economics Angioplasty, Balloon, Coronary - instrumentation arterial puncture site Bandages - economics cardiac catheterization Coronary Artery Disease - complications Coronary Artery Disease - economics Coronary Artery Disease - therapy costs Costs and Cost Analysis Early Ambulation Equipment Safety - economics Female Follow-Up Studies Hemoglobins - metabolism Hemostasis, Surgical - economics Hemostasis, Surgical - instrumentation Humans Male Middle Aged Postoperative Complications - economics Postoperative Complications - etiology Prospective Studies Suture Techniques - economics Suture Techniques - instrumentation Treatment Outcome vascular closure device |
| title | Comparison of costs and safety of a suture-mediated closure device with conventional manual compression after coronary artery interventions |
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