Groin Haemostasis With a Purse String Suture for Patients Following Catheter Ablation Procedures (GITAR Study)

Jackson, N.; McGee, Michael; Ahmed, Waheed-Ul-Rahman; Davies, Allan; Leitch, Jim; Mills, Mark T; Cambourn, M.; Ezad, Saad; Boyle, Andrew; Attia, John; Nanthakumar, Kumaraswamy; Barlow, Malcolm

doi:10.1016/j.hlc.2018.03.011

Cited by 11 publications

(10 citation statements)

References 19 publications

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“…In the previous reports, anticoagulation was continued in most cases before AF ablation, 7 and the compression time was 4 hours in all the cases 8 . Nevertheless, the incidence of venous bleeding complication in this study was higher than that in the previous reports.…”

Section: Discussioncontrasting

confidence: 54%

“…Several procedures or devices such as the figure‐of‐eight suture, 17,18 purse string suture, 8 Perclose device, 19 and Angio‐Seal device 20 were reported to be useful for venous hemorrhage. Among these procedures, the use of the figure‐of‐eight suture is low‐cost, easy, and effective.…”

Section: Discussionmentioning

confidence: 99%

“…Vascular complications often occur at the puncture site after PVI. The reported bleeding complication rate is 0%‐29% and accounts for most complications of PVI 4‐8 . Even though venous bleeding complication is rarely fatal and may be less important than other major complications, the frequency is relatively high.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for venous bleeding complication at the femoral puncture site after catheter ablation of atrial fibrillation

Arai

Mizukami

Hanyu

et al. 2020

Journal of Arrhythmia

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Background Venous bleeding complication is often observed after catheter ablation of atrial fibrillation (AF), but the risk factors remain unclear. Methods We retrospectively evaluated 570 consecutive patients who underwent catheter ablation of AF from April 2012 to March 2017. After the procedure, the sheaths were removed, and hemostasis was obtained by manual compression followed by application of rolled gauze with elastic bandage and continuous pressure to the puncture site. We evaluated the risk factors for venous bleeding complications defined as hemorrhage from the puncture site that needed recompression after removal of the elastic bandage and rolled gauze. Results After excluding 11 patients because of missing data, 559 patients (395 [70.7%] men, mean age: 65.6 ± 8.7 years) were included for analysis. Venous bleeding complication was observed in 213 patients (38.1%). In the multivariate logistic regression analysis, low body mass index (BMI; odds ratio [OR] 0.95, 95% CI 0.90‐1.00, P = .04), short compression time (OR 0.77, 95% CI 0.68‐0.88, P < .001), and antiplatelet therapy (OR 1.86, 95% CI 1.09‐3.16, P = .02) were independent risk factors for venous bleeding complication. Conclusions Low BMI, short compression time, and antiplatelet therapy were independent risk factors for venous bleeding complication after catheter ablation of AF. Longer compression time may be needed for patients with low BMI and/or those receiving antiplatelet therapy.

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Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

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Risk factors for venous bleeding complication at the femoral puncture site after catheter ablation of atrial fibrillation

Arai

Mizukami

Hanyu

et al. 2020

Journal of Arrhythmia

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“…Manual compression has been the standard of care for achievement of hemostasis after venous sheath removal. In randomized studies of other electrophysiology procedures comparing manual compression with temporary suture closures or a vascular closure device, comparable high rates of hemostasis had been achieved ( S10.1.2.1 – S10.1.2.3 ). Extrapolating these results to ventricular ablation procedures, manual compression is effective in achieving hemostasis, though time to hemostasis can be expected to be shorter with temporary suture techniques compared with manual compression ( S10.1.2.1 – S10.1.2.3 ).…”

Section: Postprocedural Carementioning

confidence: 98%

“…Compared with manual compression, temporary suture techniques can yield faster hemostasis and ambulation times and reduce the pain or discomfort associated with hemostasis. Two randomized studies have shown shorter times to hemostasis and ambulation, with one reporting reduced rates of access complications compared with manual compression ( S10.1.2.1 , S10.1.2.2 ).…”

Section: Postprocedural Carementioning

confidence: 99%

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

et al. 2020

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Representative of the European Heart Rhythm Association (EHRA) †Representative of the American College of Cardiology (ACC) ‡Representative of the Sociedade Brasileira de Arritmias Cardíacas (SOBRAC) xRepresentative of the American Heart Association (AHA) {Representative of the Latin American Heart Rhythm Society (LAHRS) #Representative of the Asia Pacific Heart Rhythm Society (APHRS) **Representative of the Japanese Heart Rhythm Society (JHRS) † †Representative of the Pediatric and Congenital Electrophysiology Society (PACES)

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2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

Cronin

Bogun

Peichl

et al. 2020

J Interv Card Electrophysiol

110

155

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Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.

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Groin Haemostasis With a Purse String Suture for Patients Following Catheter Ablation Procedures (GITAR Study)

Cited by 11 publications

References 19 publications

Risk factors for venous bleeding complication at the femoral puncture site after catheter ablation of atrial fibrillation

Risk factors for venous bleeding complication at the femoral puncture site after catheter ablation of atrial fibrillation

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

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