Closure device's being used in Cath Labs

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  1. This is a discussion on Closure device's being used in Cath Labs in Cardiac Nursing, part of Nursing Specialties ... I'm looking for some help.We seem to be going from one closure device to another. First it was the...

    by Mar 31, '12
    I'm looking for some help.We seem to be going from one closure device to another. First it was the Angio-Seals, next was StarClose and Perclose ProGlide, and now the Dr.'s want to use a new device called Arstasis. What are other Cath Labs using? We are having a high failure rate with the Star and Perclose. Pretty sure it's user failure and the Dr.'s believe the Arstasis is a better device. Any thoughts would be welcomed!
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    by CarolMarie Mar 31, '12 8:37 am
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  3. 11 Comments so far...

  4. Asst. Admin
    Mar 31, '12 by
    Our MDs mainly use Clo-Sur P.A.D.s and the occ. AngioSeal.
    We have found using the pads is more cost-effective, has a less steep learning curve for the noobs and leaves nothing in the body.
    We're also doing more radial cases, which the Fellows like, and using the TR Bands for closure there.
  5. Mar 31, '12 by
    Our cath lab uses Angioseal most of the time!! It's very successful. Perclose and Starclose have been used before but there is always bleeding involved.
    Tell your cath lab to sick with Angioseal or go radial access and use the TR bands which is very successful
    dance4life and nwnursing like this.
  6. Apr 1, '12 by
    We too are having bleeding problems with the StarClose and Perclose ProGlide. We are going back to the AngioSeals, but the Dr.'s also want to start using the newest product Arstasis. It is getting expensive having all of these products on the shelf. We have done a few radials, do you guys have a SiteRite ultrasound to help with access? We are a small Cath Lab, but do lot's of peripheral fixes also. Thanks
  7. Apr 2, '12 by
    We almost NEVER use closure devices. For just about everything, we use our hands....

    If the very rare situation arises where we use a closure device, it would be an angioseal.

    In the past year, we've used one (1) closure device.

    Everything else has been manual pressure.
  8. Apr 3, '12 by
    Wow, I'm surprised no closure devices at all in your lab. Do you use things like Syvek's or Clo-Sur pad to control bleeding? For those using radial access do you use a SiteRite or SonoSite Ultrasound?
  9. Apr 3, '12 by
    No, and no. And we have some who use the radial approach for STEMIs. They don't need a site rite that's for sure. My last lab didn't use a site rite for radial approach either, or use any pads. Must be a regional thing.

    I don't understand why anyone would use/need a pad to control bleeding. My hands control the bleeding. There's nothing that compares to a manual hold.
  10. Apr 4, '12 by
    Our MDs use Angioseal, but a few love the Mynx system. On most cases however we just use our hands. We have one MD that comes in from another hospital to cover call, and he LOVES radials. That's all he will do anymore, but he's the only one.
  11. Apr 9, '12 by
    we use angioseal but not all MDs uses it, they prefer manual pressure coz its much more reliable and cost effective. TR band is doing its thing during radial approach and cases from the radial is increasing, i guess its much more comfortble for the pt.
  12. Apr 9, '12 by
    Both or our docs prefer Perclose for all closable groin cases. We hardly ever have a failure and when we do it is always operator error. The Perclose is a great system however it does require more training. Once placed properly it is hard to beat. For our Radial cases we use TR-bands and have love them.

    Jonathan RN