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Guidelines on using artery-closing devices: devices are okay, but more research needed, experts say

Date:
October 4, 2010
Source:
American Heart Association
Summary:
Reopening a blocked heart artery isn't the only procedure that concerns doctors when they thread instruments through an opening in a thigh artery and into a heart artery. Closing up the thigh artery is also a concern.

Re-opening a blocked heart artery isn't the only procedure that concerns doctors when they thread instruments through an opening in a thigh artery and into a heart artery. Closing up the thigh artery is also a concern.

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Arteriotomy -- the process of creating a hole in an "access artery" through which instruments are inserted -- is the first step in procedures like angiography (to visualize blockage in the heart or neck arteries) or percutaneous coronary intervention (to re-open blocked heart arteries).

A new statement from the American Heart Association addresses the use of arteriotomy closure devices. Arteriotomy closure is typically done manually, but more devices are entering the market to offer potential improvements over manual closure. The statement is published in Circulation: Journal of the American Heart Association.

The statement authors conclude that the devices are reasonable to use -- and they offer recommendations for their use based on available evidence -- but their benefits should be weighed against the risk of complications in patients. Patient-specific factors like age, gender, and disease severity should be considered before using an arteriotomy closure device.

The statement also includes recommendations for future trials and end points needed to inform clinical practice.

Co-authors are: Hani Jneid, M.D.; Colin P. Derdeyn, M.D.; Lloyd W. Klein, M.D.; Glenn N. Levine, M.D.; Robert Lookstein, MD, FAHA; Christopher J. White, M.D.; Yerem Yeghiazarians, M.D.; and Kenneth Rosenfield, M.D. Author disclosures are on the manuscript.

Related statistics:

  • In the Unites States in 2006, the most recent year for which data is available:
    • 1,313,000 percutaneous coronary intervention (PCI) procedures were performed
  • Average hospital charges for catheter procedures:
    • PCI -- $51,445
    • diagnostic cardiac catheterization (no stent implantation) -- $31,181

Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Cite This Page:

American Heart Association. "Guidelines on using artery-closing devices: devices are okay, but more research needed, experts say." ScienceDaily. ScienceDaily, 4 October 2010. <www.sciencedaily.com/releases/2010/10/101004162828.htm>.
American Heart Association. (2010, October 4). Guidelines on using artery-closing devices: devices are okay, but more research needed, experts say. ScienceDaily. Retrieved January 30, 2015 from www.sciencedaily.com/releases/2010/10/101004162828.htm
American Heart Association. "Guidelines on using artery-closing devices: devices are okay, but more research needed, experts say." ScienceDaily. www.sciencedaily.com/releases/2010/10/101004162828.htm (accessed January 30, 2015).

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