IJMDC. 2022; 6(12): 1572-1580

Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review

Authors: Maitham S. Alabduljabbar, Bader S. Alhamdan, Mustafa A. Alabdrabalnabi.

ABSTRACT

Annually, around 7 million percutaneous procedures are performed worldwide. However, the common femoral artery is still utilized for most of them, despite radial access becoming increasingly prevalent. This is an updated systematic review of studies discussing access site complications of manual compression versus closure devices after lower limb (LL) revascularization between 2017 and 2022. The PubMed and Google scholar databases were used to explore studies regarding our subject. The keywords included “access site, complications, manual compression, closure devices, LL, and revascularization” and were used in various combinations. The inclusion criteria were original studies that reported the access site complications of manual compression (MC) versus closure devices after LL revascularization and full-text- articles. Though 300 articles were obtained, only 7 of them met the inclusion criteria. The studies included 85,806 participants; 5 were prospective, 1 retrospective study, and 1 multicenter randomized clinical trial. The present systematic review indicated that vascular closure devices (VCDs) were independently related to forming fewer hematomas when MC and VCD were compared. Percutaneous endovascular operations’ feasibility, safety, and efficacy were excellent, with very little conversion and complication. Lesion therapy was technically successful in 98.2% and 100% of cases. When patients were undergoing endovascular revascularization of the LL s, FemoSeal® was recommended as the first-line hemostasis treatment. Technically, VCD interventions were successful for both FS and PG patients, and hemostasis was accomplished with complete success. EXOSEAL arm has a greater success rate. The combination treatment of two VCDs with routine ultrasonography guiding access showed excellent efficacy and safety results for individuals who underwent the endovascular treatments operation.

Keywords:
Access site, complications, manual compression, closure devices, lower limb, revascularization.


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Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review


Authors
Maitham S Alabduljabbar
King Abdulaziz Medical City, National Guard Hospital, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Bader S Alhamdan
King Abdulaziz Medical City, National Guard Hospital, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Mustafa A Alabdrabalnabi
Jubail General Hospital, Jubail, Saudi Arabia.
PubMed articlesGoogle scholar articles


Correspondence to:
. King Abdulaziz Medical City, National Guard Hospital, Riyadh, Saudi Arabia.; maithamsaj@hotmail.com

Publication history
Received 25 Oct 2022
Accepted 31 Oct 2022
Published online 11 Nov 2022
Published in print 26 Nov 2022

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Pubmed Style

Alabduljabbar MS, Alhamdan BS, Alabdrabalnabi MA. Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review. IJMDC. 2022; 6(12): 1572-1580. doi:10.24911/IJMDC.51-1666716459


Web Style

Alabduljabbar MS, Alhamdan BS, Alabdrabalnabi MA. Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review. https://www.ijmdc.com/?mno=124501 [Access: January 29, 2023]. doi:10.24911/IJMDC.51-1666716459


AMA (American Medical Association) Style

Alabduljabbar MS, Alhamdan BS, Alabdrabalnabi MA. Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review. IJMDC. 2022; 6(12): 1572-1580. doi:10.24911/IJMDC.51-1666716459


Vancouver/ICMJE Style

Alabduljabbar MS, Alhamdan BS, Alabdrabalnabi MA. Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review. IJMDC. (2022), [cited January 29, 2023]; 6(12): 1572-1580. doi:10.24911/IJMDC.51-1666716459


Harvard Style

Alabduljabbar, M. S., Alhamdan, . B. S. & Alabdrabalnabi, . M. A. (2022) Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review. IJMDC, 6 (12), 1572-1580. doi:10.24911/IJMDC.51-1666716459


Turabian Style

Alabduljabbar, Maitham S., Bader S. Alhamdan, and Mustafa A. Alabdrabalnabi. 2022. Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review. International Journal of Medicine in Developing Countries, 6 (12), 1572-1580. doi:10.24911/IJMDC.51-1666716459


Chicago Style

Alabduljabbar, Maitham S., Bader S. Alhamdan, and Mustafa A. Alabdrabalnabi. "Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review." International Journal of Medicine in Developing Countries 6 (2022), 1572-1580. doi:10.24911/IJMDC.51-1666716459


MLA (The Modern Language Association) Style

Alabduljabbar, Maitham S., Bader S. Alhamdan, and Mustafa A. Alabdrabalnabi. "Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review." International Journal of Medicine in Developing Countries 6.12 (2022), 1572-1580. Print. doi:10.24911/IJMDC.51-1666716459


APA (American Psychological Association) Style

Alabduljabbar, M. S., Alhamdan, . B. S. & Alabdrabalnabi, . M. A. (2022) Access site complications of manual compression versus closure devices after lower limb revascularization: a systematic review. International Journal of Medicine in Developing Countries, 6 (12), 1572-1580. doi:10.24911/IJMDC.51-1666716459


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