Venous hemostasis postcatheter ablation of atrial fibrillation while under therapeutic levels of oral and intravenous anticoagulation

Issa, Ziad F.; Amr, Bashar S.

doi:10.1007/s10840-015-0036-y

Cited by 20 publications

(41 citation statements)

References 18 publications

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“…8- 10 Although the time to immediate hemostasis was shorter and the proportion of patients requiring protamine was lower in the FoE suture groups, the incidence of vascular complications was similar between the groups owing to the low frequency of complications. 8-10 Thus, we set rebleeding after leaving the electrophysiology laboratory as one of the primary endpoints to evaluate the efficacy.…”

Section: Conflict Of Interestmentioning

confidence: 95%

“…10 Previous studies have reported the efficacy of the FoE suture to achieve hemostasis without increasing puncture site complications and to possibly shorten the duration of bed rest. Therefore, we evaluated hemostasis following RFCA using a simple protocol: hemostasis of 3 femoral sheaths with 2 FoE sutures followed by a short duration of bed rest (4 h) in patients undergoing RFCA for AF.…”

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confidence: 99%

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Efficacy and Safety of Figure-of-Eight Suture for Hemostasis After Radiofrequency Catheter Ablation for Atrial Fibrillation

Okada

Inoue

Tanaka

et al. 2018

Circ J

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Background: This study evaluated the safety and efficacy of venous figure-of-eight (FoE) suture to achieve femoral venous hemostasis after radiofrequency (RF) catheter ablation (CA) for atrial fibrillation (AF). Methods and Results:We retrospectively examined 517 consecutive patients undergoing RFCA for AF. The control group (n=247) underwent manual compression for femoral venous hemostasis after sheath removal with 6 h of bed rest. The FoE group (n=270) underwent FoE suture technique with 4 h of bed rest. All patients achieved successful hemostasis within 24 h after CA. Although the incidence of hematoma was similar between the groups, the incidence of rebleeding was lower in the FoE group than in the control group (FoE vs. control, 3.7% vs. 18.6%, P<0.001). The post-procedural use of analgesic and/or anti-emetic agents was less frequent in the FoE group (19.3% vs. 32.0%, P<0.001). On multiple logistic regression analysis after adjustment for age and sex, the use of a vitamin K antagonist (OR, 2.42; 95% CI: 1.18-4.99, P=0.02) and the FoE suture technique (OR, 0.17; 95% CI: 0.08-0.35, P<0.001) were independent predictors of rebleeding after CA.Conclusions: FoE suture technique effectively achieved femoral venous hemostasis after RFCA for AF. It reduced the risk of rebleeding, shortened bed rest duration, and relieved patient discomfort.

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Section: Conflict Of Interestmentioning

confidence: 95%

mentioning

confidence: 99%

Efficacy and Safety of Figure-of-Eight Suture for Hemostasis After Radiofrequency Catheter Ablation for Atrial Fibrillation

Okada

Inoue

Tanaka

et al. 2018

Circ J

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“…F8S have been shown to be equally safe and effective as MC after AF ablation, with a low rate of complication . In addition, we recently showed that F8S can significantly reduce recovery time in the EP laboratory.…”

Section: Discussionmentioning

confidence: 92%

“…Manual compression (MC) after sheath removal to achieve postprocedure venous hemostasis has been the traditional standard; however, suture techniques, such as the figure‐of‐eight sutures (F8S), are now widely used as an alternative. F8S has been shown to be equally effective and safe as MC, but it does have some disadvantages . Suture knots can fragment when cut and can be difficult to remove.…”

Section: Introductionmentioning

confidence: 99%

Three‐way stopcock suture technique for hemostasis after ablation for atrial fibrillation

Payne

Aznaurov²,

Gautam

2018

Cardiovasc electrophysiol

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“…In the patients treated with non-vitamin K antagonist oral anticoagulants, the last dose was administered 24 h before the procedure, and the therapy was reintroduced up to 6 h after the procedure. Antithrombotic treatment with heparin was conducted in accordance with the typical scheme, with the monitoring of activated clotting tine, without reversing the effect of heparin at the end of the procedure [4,5]. …”

Section: Methodsmentioning

confidence: 99%

“Buddy wire” for facilitation of femoral venous access for cryoablation: a preliminary report

et al. 2017

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A b s t r a c tBackground: Some electrophysiological techniques, such as balloon cryoablation, involve the use of steerable sheaths of large diameter (outer diameter 15 Fr or more). Their introduction to the femoral vein may be difficult, especially in patients who have had numerous venipunctures in this area. Aim:The authors describe a modification of typical venous access with the use of a "buddy wire" technique, facilitating the insertion of the cryoablation sheaths to the femoral vein. Methods:A case-control study. The study involved a retrospective analysis of 27 consecutive procedures of balloon cryoablation of pulmonary veins performed in 2015 by the first author, compared to 23 consecutive procedures of balloon cryoablation performed in 2014 without a "buddy wire" technique. The study and control groups did not vary significantly. There were 11 women in both groups. The average age of the patients was 55.9 years. The "buddy wire" technique was the only difference in procedure performance between the control and study groups. In the study group a short introducer was inserted through a puncture of the right femoral vein, and then two wires were introduced through it. One of them was secured, so that it could not move, while the other served as a typical trans-septal puncture monitored with the use of X-ray. The standard trans-septal sheet was replaced with a 15 Fr steerable sheath, inserted through the same puncture site next to the secured "buddy wire". The short wire was then removed from the femoral vein. Typical balloon cryoablation of pulmonary veins was performed. After the end of the procedure, the puncture site was secured with a haemostatic suture for 12-18 h. Results:Femoral access with a 15 Fr steerable sheath and cryoablation were safely performed in all patients in the study group and in 22 out of 23 in the control group (100% vs. 95.6%, p = NS). Pulmonary vein isolation in one patient was performed using another technique. No damage to steerable sheaths was observed. There were no vascular complications requiring extended hospitalisation, blood transfusion, or surgical interventions in either group. The "door-to-door" time of the procedures ranged from 2 h 32 min on average in the study group to 2 h 43 min on average in the control group (p = NS). There was significant reduction in fluoroscopy time: 7 min 15 s on average from 11 min 25 s (p = 0.0009). Conclusions:The use of the "buddy wire" technique may lead to significant reduction in fluoroscopy time during cryoablation of pulmonary veins by facilitating the insertion of the steerable sheaths to the femoral vein.

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Venous hemostasis postcatheter ablation of atrial fibrillation while under therapeutic levels of oral and intravenous anticoagulation

Cited by 20 publications

References 18 publications

Efficacy and Safety of Figure-of-Eight Suture for Hemostasis After Radiofrequency Catheter Ablation for Atrial Fibrillation

Efficacy and Safety of Figure-of-Eight Suture for Hemostasis After Radiofrequency Catheter Ablation for Atrial Fibrillation

Three‐way stopcock suture technique for hemostasis after ablation for atrial fibrillation

“Buddy wire” for facilitation of femoral venous access for cryoablation: a preliminary report

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