Copyright
©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Sep 28, 2018; 10(9): 108-115
Published online Sep 28, 2018. doi: 10.4329/wjr.v10.i9.108
Published online Sep 28, 2018. doi: 10.4329/wjr.v10.i9.108
Korean single-center experience with femoral access closure using the ExoSeal device
Yoonhee Han, Jae Hyun Kwon, Surin Park, Department of Radiology, Dongguk University Ilsan Hospital, Goyang-si 10326, Gyeonggi-do, South Korea
Author contributions: Han Y performed the clinical procedures, data analysis and manuscript writing; Kwon JH performed the clinical procedures and data analysis; Park S performed the data analysis and manuscript writing.
Institutional review board statement: This study was reviewed and approved by the Dongguk University Ilsan Hospital Institutional Review Board (approval No. DUIH 2017-10-003-001).
Informed consent statement: The study investigators obtained informed consent from all included patients, and the study was conducted in accordance with the principles of the Helsinki Declaration.
Conflict-of-interest statement: All authors declare no conflicts-of-interest related to this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yoonhee Han, MD, PhD, Associate Professor, Department of Radiology, Dongguk University Ilsan Hospital, 27 Dongguk-ro, Siksa-dong, Ilsandong-gu, Goyang-si 10326, Gyeonggi-do, South Korea. hanyoonhee@naver.com
Telephone: +82-10-52729747 Fax: +82-31-9618281
Received: April 27, 2018
Peer-review started: April 27, 2018
First decision: June 14, 2018
Revised: August 6, 2018
Accepted: August 23, 2018
Article in press: August 24, 2018
Published online: September 28, 2018
Peer-review started: April 27, 2018
First decision: June 14, 2018
Revised: August 6, 2018
Accepted: August 23, 2018
Article in press: August 24, 2018
Published online: September 28, 2018
Core Tip
Core tip: This study aimed to report the experience of closure of the femoral artery over a 17-mo period using ExoSeal vascular closure devices (VCDs). Technical and procedural successes were achieved in 176 cases (98.0%) and 128 cases (71.5%), respectively, while device failure occurred in only 3 (1.7%) cases. Repeated use of the ExoSeal did not affect hemostasis time or success rate. Thus, ExoSeal VCD is a simple, safe and effective device for achieving hemostasis with few complications. However, longer light manual compression may be needed with alcohol drinkers, low platelet counts, and high prothrombin time-international normalized ratio values.