Closure device's being used in Cath Labs - Page 2

It all depends on the physician. I've seen Angioseal, Perclose and Mynx...if we're pulling sheaths on the floor, we will use Syvek + manual pressure. Another physicians wants the Syvek + a butterfly dressing and tensoplast dressings (which I don't like because there is so much "dressing" there it makes it hard to feel for a hematoma!). Our cath lab RN's are now saying that some of the physicians are now using D-stat which they do not like and I'm not sure why. The D-stat is something new. Another cardiologist also prefers the radial approach so usually his patients will come back to the floor with a TR band.

We use Angio-Seal, Perclose, and Starclose on a regular basis with great success. At our facility, the physicians deploy the closure device, and they have a fairly low failure rate. I think it's a user failure if your having a low success rate like that. We also use a D-Stat Dry thrombin pad I'd a Safeguard device for oozing, or the Femostop for bleeding.