Pain and discomfort in closure of femoral access coronary angiography. The CLOSuredEvices Used in everyday Practice (CLOSE-UP) pain sub study. (1st June 2014)

• Record Type: Journal Article
• Authors: Sindberg, Birthe; Schou, Mia; Hansen, Lotte; Christiansen, Karen Juelsgaard; Jørgensen, Kristina Søgaard; Søltoft, Marianne; Holm, Niels Ramsing; Maeng, Michael; Kristensen, Steen Dalby; Lassen, Jens Flensted
• Is Part Of: European journal of cardiovascular nursing. Volume 13:Number 3(2014)
• Page Start: 221
• Page End: 226
• Publication Date: 2014-06-01
• Subjects: Manual compression -- vascular closure device -- coronary -- coronary angiography -- pain -- bleeding; Cardiovascular system -- Diseases -- Nursing -- Periodicals; Cardiovascular Diseases -- nursing -- Periodicals; Cardiology -- Periodicals; Nursing -- Periodicals; Vascular Diseases -- Periodicals; 610.7369105
• DOI: 10.1177/1474515113482809
• Languages: English
• ISSNs: 1474-5151

Abstract

Abstract: Background: Pain and discomfort in relation to vascular closure are the predominant patient complaints after coronary angiography (CAG). No large-scale randomized studies have evaluated pain and discomfort after CAG with access site closure by manual compression versus a vascular closure device (VCD). Aim: To compare pain and discomfort after femoral artery closure by manual compression versus FemoSeal® VCD. Methods: The study is a sub study to the CLOSE-UP study, a randomized, single centre comparison of FemoSeal ® VCD versus manual compression after CAG. Pain and discomfort score was assessed immediately after the closure procedure, at time for mobilization, at discharge and after 14 days. Results: 1014 patients were included and 1001 patients entered analysis. In-hospital follow-up was obtained for all patients and 14-day follow-up was completed for 96% of patients. The closure procedure lasted 1 (1–1) min in the FemoSeal ® VCD group and 8 (6–10) min in the manual compression group. Pain and discomfort score at the procedure was significantly higher in the FemoSeal ® VCD group. No differences in pain and discomfort were detected after leaving the catheterization laboratory. Conclusion: Closure of femoral access after CAG by the FemoSeal ® VCD was associated with significantly more pain and discomfort compared with closure by manual compression. No difference in pain and discomfort was found at follow-up.