Femoral Venous Hemostasis in Children Using the Technique of "Figure‐of‐Eight" Sutures. (20th May 2013)

• Record Type: Journal Article
• Authors: Zhou, Yong; Guo, Zhifu; Bai, Yuan; Zhao, Xianxian; Qin, Yongwen; Chen, Shaoping; Wu, Hong; Huang, Xinmiao; Li, Songhua; Liu, Bo
• Is Part Of: Congenital heart disease. Volume 9:Number 2(2014)
• Page Start: 122
• Page End: 125
• Publication Date: 2013-05-20
• Subjects: Congenital heart disease -- Periodicals; 616.1204305
• DOI: 10.1111/chd.12098
• Languages: English
• ISSNs: 1747-079X

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="chd12098-sec-0001" sec-type="section"> <title>Background</title> <p>Structural heart interventions require the use of relatively large‐diameter delivery sheaths or latex nylon net balloon catheters, which results in a relatively large‐diameter venous puncture point. At present, femoral venous hemostasis is achieved by manual compression. A temporary figure‐of‐eight subcutaneous suture has been introduced to achieve immediate postprocedural femoral venous hemostasis after using a ≥24Fr sheath in an adult. This method is not well evaluated in children.</p> </sec> <sec id="chd12098-sec-0002" sec-type="section"> <title>Method</title> <p>We report our experience using this technique in children treated with 7–14Fr sheaths. From May 2009 to March 2012, 104 children (ages ranging from 3 to 10 years, mean 8.1 ± 1.6 years) with atrial septal defects (n = 86) and pulmonary valve stenosis (n = 18) underwent percutaneous transcatheter interventions. Sheath sizes used were ≥7Fr (7Fr, n = 5; 8Fr, n = 29; 9Fr, n = 14; 10Fr, n = 15; 12Fr, n = 19; 14Fr, n = 22).</p> </sec> <sec id="chd12098-sec-0003" sec-type="section"> <title>Result</title> <p>A total of 102 patients had immediate femoral vein hemostasis, and 2 developed a femoral vein hematoma requiring manual compression. One patient was diagnosed with a femoral artery pseudoaneurysm during hospitalization. On follow‐up, there was no evidence of hematoma or thrombosis.</p> </sec> <sec id="chd12098-sec-0004" sec-type="section"> <title>Conclusion</title> <p>The "figure‐of‐eight" suture technique is effective and safe, achieving immediate hemostasis after the use of large femoral vein sheaths in children.</p> </sec> </abstract>