Purse string suture for rapid access hemostasis after removal of large-caliber femoral venous delivery sheaths in children with atrial septal defects
Abstract Objectives To evaluate the efficacy and safety of purse-string sutures (PSS) compared with manual compression for access hemostasis in children with atrial septal defects (ASDs) after large-caliber venous delivery sheaths removal. Methods We conducted a retrospective clinical data review of...
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BMC
2025-01-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-025-04490-5 |
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| author | Gang Luo Zhixian Ji Bei Zhang Yueyi Ren Silin Pan |
| author_facet | Gang Luo Zhixian Ji Bei Zhang Yueyi Ren Silin Pan |
| author_sort | Gang Luo |
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| description | Abstract Objectives To evaluate the efficacy and safety of purse-string sutures (PSS) compared with manual compression for access hemostasis in children with atrial septal defects (ASDs) after large-caliber venous delivery sheaths removal. Methods We conducted a retrospective clinical data review of 271 children with ASDs who underwent transcatheter device closure through large-caliber venous delivery sheaths (≥ 8 Fr) at our institution from January 2018 to January 2023. The PSS group (n = 144) was compared to the control group (n = 127), which underwent manual compression for femoral venous hemostasis after sheath removal, focusing on hemostatic time, limb braking time, bed rest time, hospital stay, and vascular access complications. Two days post-catheterization, the sutures were taken out and a vascular ultrasound found the evidence of thrombosis, embolism, or venous narrowing. Results Compared to the control group, the PSS group had significantly shorter average hemostatic time (4.63 ± 1.95 min vs. 19.69 ± 5.64 min), limb braking time (6.83 ± 2.25 h vs. 13.45 ± 2.87 h), and bed rest time (8.69 ± 1.43 h vs. 22.93 ± 2.24 h) (all, p < 0.001). There were no statistically significant differences in hospital stay and complications between the two groups. Conclusions The PSS is a simple, effective, and safe procedure that may play a valuable role in achieving rapid hemostasis after the removal of the large-caliber venous delivery sheaths in children. It allows earlier mobilization, reduces bed rest time, and alleviates discomfort compared to manual compression. |
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| institution | Kabale University |
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| language | English |
| publishDate | 2025-01-01 |
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| series | BMC Cardiovascular Disorders |
| spelling | doaj-art-8831d07e73ef48d9a32a3304aa3c62052025-01-19T12:09:24ZengBMCBMC Cardiovascular Disorders1471-22612025-01-012511510.1186/s12872-025-04490-5Purse string suture for rapid access hemostasis after removal of large-caliber femoral venous delivery sheaths in children with atrial septal defectsGang Luo0Zhixian Ji1Bei Zhang2Yueyi Ren3Silin Pan4Heart Center, Women and Children’s Hospital, Qingdao UniversityHeart Center, Women and Children’s Hospital, Qingdao UniversityHeart Center, Women and Children’s Hospital, Qingdao UniversityHeart Center, Women and Children’s Hospital, Qingdao UniversityHeart Center, Women and Children’s Hospital, Qingdao UniversityAbstract Objectives To evaluate the efficacy and safety of purse-string sutures (PSS) compared with manual compression for access hemostasis in children with atrial septal defects (ASDs) after large-caliber venous delivery sheaths removal. Methods We conducted a retrospective clinical data review of 271 children with ASDs who underwent transcatheter device closure through large-caliber venous delivery sheaths (≥ 8 Fr) at our institution from January 2018 to January 2023. The PSS group (n = 144) was compared to the control group (n = 127), which underwent manual compression for femoral venous hemostasis after sheath removal, focusing on hemostatic time, limb braking time, bed rest time, hospital stay, and vascular access complications. Two days post-catheterization, the sutures were taken out and a vascular ultrasound found the evidence of thrombosis, embolism, or venous narrowing. Results Compared to the control group, the PSS group had significantly shorter average hemostatic time (4.63 ± 1.95 min vs. 19.69 ± 5.64 min), limb braking time (6.83 ± 2.25 h vs. 13.45 ± 2.87 h), and bed rest time (8.69 ± 1.43 h vs. 22.93 ± 2.24 h) (all, p < 0.001). There were no statistically significant differences in hospital stay and complications between the two groups. Conclusions The PSS is a simple, effective, and safe procedure that may play a valuable role in achieving rapid hemostasis after the removal of the large-caliber venous delivery sheaths in children. It allows earlier mobilization, reduces bed rest time, and alleviates discomfort compared to manual compression.https://doi.org/10.1186/s12872-025-04490-5Purse string sutureHemostasisAtrial septal defectVenous delivery sheathChildren |
| spellingShingle | Gang Luo Zhixian Ji Bei Zhang Yueyi Ren Silin Pan Purse string suture for rapid access hemostasis after removal of large-caliber femoral venous delivery sheaths in children with atrial septal defects BMC Cardiovascular Disorders Purse string suture Hemostasis Atrial septal defect Venous delivery sheath Children |
| title | Purse string suture for rapid access hemostasis after removal of large-caliber femoral venous delivery sheaths in children with atrial septal defects |
| title_full | Purse string suture for rapid access hemostasis after removal of large-caliber femoral venous delivery sheaths in children with atrial septal defects |
| title_fullStr | Purse string suture for rapid access hemostasis after removal of large-caliber femoral venous delivery sheaths in children with atrial septal defects |
| title_full_unstemmed | Purse string suture for rapid access hemostasis after removal of large-caliber femoral venous delivery sheaths in children with atrial septal defects |
| title_short | Purse string suture for rapid access hemostasis after removal of large-caliber femoral venous delivery sheaths in children with atrial septal defects |
| title_sort | purse string suture for rapid access hemostasis after removal of large caliber femoral venous delivery sheaths in children with atrial septal defects |
| topic | Purse string suture Hemostasis Atrial septal defect Venous delivery sheath Children |
| url | https://doi.org/10.1186/s12872-025-04490-5 |
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