Femoral arteryaccess site closure with perclose suture mediated device in coronary interventions

Abstract Objective To compare the outcome of suture mediated vascular closure device Perclose Proglide(PP) with manual compression(MC) following transfemoral access for coronary interventions (CI). Methods It is a retrospective, observational, single centre study from January 2018 to September 2019. Consecutive patients undergoing interventions through transfemoral access were divided into PP and MC groups. Those with less than 3 months follow up were excluded. Two groups were compared for baseline characteristics and various complications at 24 hours and at 30 days. Results Out of 1743 patients studied, PP group included 1343 and MC group, 400 patients. Both groups were comparable in baseline characteristics, sheath size and use of antiplatelets and anticoagulation. PP group had significantly less minor bleeding (P=.01, CI 0.34-4.03) and hematoma (P=.0007, CI 0.95-5.10) at 24 hours. At 30 days, minor bleeding (P Conclusions PP device is safe, effective and is associated with fewer complications than MC in CCI. Device failure rate is low. Obesity and hypertension are associated with increased minor bleeding in both groups.