Feasibility of the Figure-of-8-Suture as Venous Closure in Interventional Electrophysiology: One Strategy for All?

Jensen, Christoph J.; Schnur, Miriam; Lask, Sebastian; Attanasio, Philipp; Gotzmann, Michal; Kara, Kaffer; Hanefeld, Christoph; Mügge, Andreas; Wutzler, Alexander

doi:10.7150/ijms.42593

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Int J Med Sci 2020; 17(7):965-969. doi:10.7150/ijms.42593 This issue Cite

Research Paper

Feasibility of the Figure-of-8-Suture as Venous Closure in Interventional Electrophysiology: One Strategy for All?

Christoph J. Jensen^1✉, Miriam Schnur¹, Sebastian Lask¹, Philipp Attanasio², Michal Gotzmann¹, Kaffer Kara¹, Christoph Hanefeld³, Andreas Mügge¹, Alexander Wutzler¹

1. Cardiovascular Centre, St. Josef-Hospital, Ruhr-University Bochum, Germany
2. Department of Internal Medicine and Cardiology, Charité University Medicine, Campus Benjamin Franklin, Berlin, Germany
3. Department of Medicine III, St. Josef and St. Elisabeth Hospital, Bochum, Germany

Citation:

Jensen CJ, Schnur M, Lask S, Attanasio P, Gotzmann M, Kara K, Hanefeld C, Mügge A, Wutzler A. Feasibility of the Figure-of-8-Suture as Venous Closure in Interventional Electrophysiology: One Strategy for All?. Int J Med Sci 2020; 17(7):965-969. doi:10.7150/ijms.42593. https://www.medsci.org/v17p0965.htm

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Abstract

Background: Venous vascular access with higher sheath size is common in interventional electrophysiology. In contrast to arterial vascular access, no dedicated closure devices exist for closure after venous access with higher sheath sizes. The Figure-of-8-Suture, an easy to apply suture, may be as a feasible approach for closure venous puncture. Our aim was to evaluate the feasibility of closure of femoral venous access.

Methods: From November 2016 to February 2018, patients undergoing electrophysiological procedures, closure of left atrial appendage or patent foramen ovale were included. Until May 2017, manual compression was performed to achieve haemostasis at venous access site (control group). From May 2017, patients were treated with a Figure-of-8-Suture (treatment group, Figure 1). Turnaround time and incidence of vascular complications were compared between the two groups.

Results: In total, 290 patients were included, 132 in the control group and 158 in the Figure-of-8-Suture group. Hemostasis after sheath removal was achieved in 100% of the cases in the control group by manual compression and in 98.7% of the cases with the Figure-of-8-Suture (p=0.2). Vascular complications were more common in the control group (6.8 vs. 1.3 %, p=0.01). Turnaround time was significantly lower in the Figure-of-8-Suture group (58.6 ± 14 vs. 77 ± 33.9 min, p=0.004).

In a sub-analysis in obese patients with body mass index (BMI) ≥30 kg/m² (Figure-of-8 n=45, controls n=35), vascular complications were significantly more common in the control group (9.4 vs 0%, p=0.045).

Conclusion: The Figure-of-8-Suture is an easy-to-apply, effective approach for venous closure after electrophysiological procedures.

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APA

Jensen, C.J., Schnur, M., Lask, S., Attanasio, P., Gotzmann, M., Kara, K., Hanefeld, C., Mügge, A., Wutzler, A. (2020). Feasibility of the Figure-of-8-Suture as Venous Closure in Interventional Electrophysiology: One Strategy for All?. International Journal of Medical Sciences, 17(7), 965-969. https://doi.org/10.7150/ijms.42593.

ACS

Jensen, C.J.; Schnur, M.; Lask, S.; Attanasio, P.; Gotzmann, M.; Kara, K.; Hanefeld, C.; Mügge, A.; Wutzler, A. Feasibility of the Figure-of-8-Suture as Venous Closure in Interventional Electrophysiology: One Strategy for All?. Int. J. Med. Sci. 2020, 17 (7), 965-969. DOI: 10.7150/ijms.42593.

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CSE

Jensen CJ, Schnur M, Lask S, Attanasio P, Gotzmann M, Kara K, Hanefeld C, Mügge A, Wutzler A. 2020. Feasibility of the Figure-of-8-Suture as Venous Closure in Interventional Electrophysiology: One Strategy for All?. Int J Med Sci. 17(7):965-969.

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