Femoral venous haemostasis in children and young adults using the ‘figure‐of‐eight’ suture technique

Donmez, Yasemin Nuran; Aykan, Hayrettin Hakan; Sel, Kutay; Ertuğrul, İlker; Duman, Derya; Aypar, Ebru; Alehan, Dursun; Karagöz, Tevfik

doi:10.1080/00015385.2021.1973769

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…There are a few reports of surgical suture hemostasis after the removal of femoral venous sheaths in children, and the overall success rate is 98.7% [4][5][6][7][8]. It has been demonstrated that 89.3% of children cease bleeding quickly after ligation, 10.7% of them managing to stop the ow within two minutes, which indicates that the technique is highly effective in achieving rapid hemostasis in this demographic and can signi cantly reduce the time spent in hospital [13]. In our study, this technique is safe and feasible among the ASD pediatric population as well, which is quite similar to the study reported by Zhou et al among a larger population group (104 patients).…”

Section: Discssionmentioning

confidence: 99%

Purse string suture for hemostasis after removal of large-caliber femoral venous delivery sheaths in pediatric transcatheter intervention of atrial septal defect: a single center experience

Luo,

Ji,

Zhang

et al. 2023

Preprint

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The objective of this study is to evaluate the efficacy and safety of purse-string suture compared with manual compressing for hemostasis in children with atrial septal defect (ASD) after large-caliber venous delivery sheath removal. We conducted a retrospective study of 271 children with ASD were treated with transcatheter closure of the large-calibe venous delivery sheath (≥ 8 Fr) at our center from January 2018 to January 2023. The control group (n = 127) underwent manual compression for femoral venous hemostasis after removal sheaths. The purse string suture (PSS) group (n = 144) underwent PSS technique. Contrast clinical data on hemostatic time, limb braking time, bed rest time, hospital stay and complications (rebleeding, hematoma formation, local blood ooze, skin ecchymosis and skin damage) between two groups of patients. Compared with the control group, the average hemostatic time (4.63 ± 1.95 vs. 19.69 ± 5.64) min, limb bending time (6.83 ± 2.25 vs. 13.45 ± 2.87) h and bed rest time (8.69 ± 1.43 vs. 22.93 ± 2.24) h were significantly shorter in the PSS group, compared to the control group (P < 0.001). The differences regarding hospital stay and complications between the two groups were statistically insignificant (P༞0.05). Conclusions: The PSS is a straightforward, effective, and secure procedure for attaining rapid hemostasis after removal of large-calibe venous delivery sheath (≥ 8 Fr) for transcatheter closure of ASD in children. The PSS enables pediatric patients to access earlier mobilization and physical activity, a shorter bed rest duration and relief of discomfort when compared to manual compression.

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