Research Article
Vascular Closure Devices versus Manual Compression in Cardiac Interventional Procedures: Systematic Review and Meta-Analysis
Table 1
Summary of included studies.
| Study | Publication year | Research country | Study type | Operation type | Access site | VCD type | Sample size | Age () | Male gender (%) |
| Ben-Dor [28] | 2018 | USA | RCT | PCI/CAG | Femoral vein | MynxGrip | 208 | | 117 (56.3) | Ben-Dor [40] | 2011 | USA | Retrospective study | BAV | Femoral artery | AngioSeal/Perclose/Prostar | 333 | | 146 (43.8) | Bhat [41] | 2021 | India | Retrospective study | PCI | Femoral artery | Perclose | 1743 | | 1097 (62.9) | Christ [42] | 2015 | Germany | Retrospective study | PCI/CAG | Femoral artery | AngioSeal | 76 | 64.2 ± 12.8 | 46 (60.5) | De Poli [43] | 2014 | France | Retrospective study | PCI/CAG | Femoral artery | FemoSeal | 211 | | 76 (76.0) | De Poli past [43] | 2014 | France | Retrospective study | PCI/CAG | Femoral artery | Unknown | 3826 | Unknown | Unknown | Hermiller [29] | 2005 | USA | RCT | CAG | Femoral artery | Starclose | 208 | | 139 (66.8) | Hermiller [30] | 2006 | USA | RCT | PCI | Femoral artery | Starclose | 275 | | 221 (80.4) | Hermiller [31] | 2015 | USA | RCT | CC | Femoral artery | Vascade | 420 | | 298 (71.0) | Holm [32] | 2014 | Denmark | RCT | CAG | Femoral artery | FemoSeal | 1001 | | 621 (62.0) | Iqtidar [56] | 2011 | USA | Propensity match | PCI | Femoral artery | AngioSeal/Starclose/Perclose | 4221 | | 2076 (64.1) | Jakobsen [33] | 2022 | Denmark | RCT | CAG | Femoral artery | MynxGrip | 865 | | 570 (65.9) | Junquera [57] | 2021 | Canada | Propensity match | TAVR | Femoral artery | AngioSeal/Perclose | 4031 | | 1921 (47.7) | Kuno [58] | 2021 | USA | Propensity match | PCI | Femoral artery | AngioSeal/Perclose | 694 | | 529 (76.2) | Leclercq [44] | 2015 | France | Prospective study | BAV | Femoral artery | AngioSeal | 180 | | 84 (46.7) | Lupi [45] | 2012 | Italy | Retrospective study | PCI/CAG | Femoral artery | AngioSeal | 1913 | Unknown | Unknown | Mirza [46] | 2014 | USA | Retrospective study | CC | Brachial artery | Starclose | 148 | | 79 (53.4) | Mohammed [47] | 2021 | USA | Prospective study | CA | Femoral vein | Perclose | 231 | | 145 (62.8) | Mohanty [48] | 2019 | USA | Retrospective study | CA/LAAC | Femoral vein | Vascade | 803 | | 538 (70.0) | Natale [34] | 2020 | USA | RCT | CA | Femoral vein | Vascade | 204 | | 131 (64.2) | O’Neill [49] | 2013 | USA | Retrospective study | BAV | Femoral artery | Perclose | 428 | | 194 (45.3) | Owens [50] | 2017 | USA | Retrospective study | CC | Femoral artery | Cardiva catalyst II | 1470 | | 1419 (96.5) | Pieper [51] | 2016 | Germany | Prospective study | CC | Femoral artery | ExoSeal | 48 | | 29 (60.4) | Schulz-Schüpke [ 35] | 2014 | Germany | RCT | CAG | Femoral artery | FemoSeal/ExoSeal | 4524 | | 3129 (69.2) | Sekhar [52] | 2016 | USA | Prospective study | CC | Femoral artery | Perclose | 170 | | 149 (87.6) | Sharma [36] | 2020 | USA | RCT | CC | Femoral artery | SiteSeal | 39 | | 23 (59.0) | Stegemann [53] | 2011 | Germany | Retrospective study | PCI/CAG | Femoral artery | AngioSeal | 4653 | | 3233 (69.5) | Su [54] | 2018 | China | Retrospective study | PCI | Femoral artery | AngioSeal | 73 | | 52 (71.2) | Wei [55] | 2020 | China | Retrospective study | TBAD | Brachial artery | ExoSeal | 157 | | 124 (79.0) | Wong [37] | 2017 | USA | RCT | PCI | Femoral artery | Celt ACD | 207 | | 159 (76.8) | Wong [38] | 2009 | USA | RCT | PCI/CAG | Femoral artery | ExoSeal | 401 | | 265 (66.1) | Yeni [39] | 2016 | Germany | RCT | PCI | Femoral artery | AngioSeal/Starclose | 620 | | 444 (71.6) |
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VCD = vascular closure device; USA = the United States of America; RCT = randomized controlled trial; PCI = percutaneous coronary intervention; CAG = coronary angiography; BAV = balloon aortic valvuloplasty; CC = cardiac catheterization; TAVR = transcatheter aortic valve replacement; CA = catheter ablation; LAAC = left atrial appendage closure; TBAD = type B aortic dissection.
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