Complicaciones vasculares postcateterismo según hemostasia

• Objective: To determine to what extent the type of haemostasis used can have an influence on vascular complications in patients undergoing cardiac catheterization through femoral access. • Methods: A total of 122 patients were studied, all of them undergoing coronary angiography and/or percutaneous transluminal coronary angioplasty through femoral access, with or without stenting. Patients were divided into 3 groups according to the type of haemostasis used: group A (manual compression), group B (vascular closure device: Angio-Seal) and group C (vascular closure device Angio-Seal plus compression bandage), and postcatheterization complications were assessed. • Results: There were significant differences between the three types of haemostasis regarding bleeding (p <0.03). In group A, only 8.1% of patients had any degree of bleeding; in group B, bleeding rate was 23.1%; by contrast, up to 32.6% of patients from group C presented bleeding. Significant differences were also found, although to a lesser extent, between the three types of haemostasis regarding the development of hematoma (p <0.05). In group A, 13.5% of patients developed hematoma; in group B, hematoma was developed in 25.6% of patients; and in group C, 37% of patients had hematoma. • Conclusions: The use of compression bandage after manual compression following cardiac catheterization with femoral access is associated with fewer vascular complications, i.e. bleeding and hematoma. The use of AngioSeal is associated with an increased rate of vascular complications, especially when combined with compression bandaging. Therefore, the concomitant use of vascular closure device Angio-Seal and compression bandaging is not recommended.• Objetivo: Determinar en qué medida el tipo de hemostasia realizado influye en las complicaciones vasculares de los pacientes sometidos a un cateterismo cardiaco con acceso femoral. • Métodos: Se estudiaron 122 pacientes, a quienes se realizó coronariografía y/o angioplastia coronaria transluminal percutánea, por vía femoral con o sin implantación de stent. Se dividieron en 3 grupos según tipo de hemostasia empleada: Grupo A (compresión manual), Grupo B (dispositivo de cierre vascular: Angio-Seal) y Grupo C (dispositivo de cierre vascular: Angio-Seal más vendaje compresivo) y se valoraron las complicaciones vasculares presentadas en el postcateterismo. • Resultados: Se encontraron diferencias significativas, entre el tipo de hemostasia y sangrado (p<0.03). Dentro del grupo A, el 8.1%, del grupo B, el 23,1%, sin embargo, en el grupo C, se observó, un 32.6%. También, encontramos diferencias significativas, en menor medida que el anterior, en el tipo de hemostasia y el desarrollo de hematoma (p