Table of Contents Author Guidelines Submit a Manuscript
Radiology Research and Practice
Volume 2013 (2013), Article ID 875484, 6 pages
http://dx.doi.org/10.1155/2013/875484
Clinical Study

Safety and Efficacy of the Prostar XL Vascular Closing Device for Percutaneous Closure of Large Arterial Access Sites

1Diagnostic and Interventional Radiology, Department of Radiology, University of Tübingen, Hoppe-Seyler-Straße 3, 72076 Tübingen, Germany
2Department of Thoracic, Cardiac and Vascular Surgery, University of Tübingen, Hoppe-Seyler-Straße 3, 72076 Tübingen, Germany

Received 12 June 2012; Accepted 11 December 2012

Academic Editor: Thomas Vogl

Copyright © 2013 Christoph Thomas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. The purpose of this study is to retrospectively evaluate the efficacy and safety of the Prostar XL device for percutaneous large access site closure in an unselected patient and operator collective. Materials and Methods. All patients ( ) who had received percutaneous vascular closing with the Prostar XL device in our institution with follow-up data of at least 6 months were retrospectively included. Primary (freedom from surgical conversion) and continued (freedom from groin surgery in further course) technical success and major (deviations from expected outcome requiring surgery) and minor (other deviations from expected outcome) complications were assessed. Success and complications rates were correlated with delivery system size (Mann-Whitney Rank Sum Tests) and operator experience (paired samples t-test). Results. Rates of primary and continued technical success as well as major and minor complications were 93.6%, 89.7%, 10.3%, and 10.3% (groin based) and 90.0%, 84.0%, 16.0%, and 16.0% (patient based), respectively. No correlation of success and complications rate was found with delivery system sizes and operator experience. Conclusions. Application of the Prostar XL device for percutaneous closure of large arterial access sites is safe with a relatively high rate of technical success and low rate of major complications. Sizes of the delivery systems and the experience of the operator did not influence the results.