Cath Lab Nurses: Anyone with experience with Femostop and Angioseals

Editorial Team / Admin · Oct 9, 2004

This month's Cath Lab Digest has an intriguing article about Vascular Closure Devices (or, better, the LACK of better VCDs), from a Vascular Surgeon's perspective. Lots of pix of what he sees in the OR, even after "benign" manual pressure is held.

I'd be interested in what else you find. We haven't done any audits. We use Angioseal and, occasionally, Perclose, as well as manual pressure and Clo-Sur P.A.D. Other lab I worked in used Vasoseal and manual pressure.

Hmmm, I saw an article recently comparing Syvek Patch VS Clo-Sur P.A.D. VS another topical product . . . but that's not what you're researching.

Have you tried the ARNA site with your question? Or some of the sites that cater to Interventional procedures?

Good Luck! :)

Madmax · Oct 9, 2004

Thanks for your reply. What is ARNA site, do you have a web address?

Thanks:)

Editorial Team / Admin · Oct 9, 2004

http://www.arna.net

The American Radiological Nurses Association. Not as lively as this BB, by any means, but over a few weeks you may get a few replies, or links, or something to help.

Is there anything helpful on the ACC site (American College of Cardiology)?

How about http://www.angioplasty.org? I've not done more than peer at their home page, but you may find something if you dig and ask.

:) :)

NCgirl · Oct 10, 2004

As a grad student, I've found a nice little trick to getting info like that. Just ask your rep who comes in....their companies usually have dept's that can send you all the info you want.

Madmax · Oct 10, 2004

Thanks NCgirl,

I was thinking the same, the one problem i have found that everything is very much in favour of the companies best interests and i'm trying to compare and contrast the good and bad sides.

NCgirl · Oct 10, 2004

So very true, but those same articles usually include the "drawbacks" regarding their competitors products.

sume · Nov 9, 2004

Hi All- I have been following the information on this topic for some time. Noted a message from RNMBA regarding several lawsuits that have been filed following misuse of the FEMStop. Does anyone have further info on these? Thanks in advance.

janet r. gowen · Dec 27, 2004

:balloons: I'm researching the use of angioseal closure devices, Femostop and manual pressure following femoral sheath removal. If anyone has any useful articles or done any audits and would be willing to share this information i would be most grateful. There is a definate lack of evidence and research out there that i have been able to find. Thanks:)

The angioseals are great, we are using more and more of them in the cardiac cath angioplasty patient at our facility they reduce the time of bedrest and are less prone to pseudoanuerysm development post procedure as well.

The comfort of the patient is primarily of concern in most cases and the decreased bed rest and immobilization of the affected limb is a key factor in this. We are also using more raidial and brachial sites for access which is interesting. as yet we have not seen many complications but far better outcomes.

The fem stop is effective in controlling bleeding/oozing but also has the requirement of more frequent monitoring and the risk of nerve damage due to pressures and placement errors. The patients also experience more discomfort with the femstop in place.

Information on statistical reveiw can be obtained by contacting the manufacturers at their web sites and also through contacting heart centers as they do keep statistics on the developments of all devices used thanks

nyobi · Mar 20, 2006

I have a question about femstops that I have not been able to get an answer to. If anyone can help me out I would appreciate it. We very seldem use a femstop in my unit, we usually hold manual pressure. On the occassion that we do use a femstoop it is usually due to a bleeding problem. I usually ask that my nurses do a one on one with the patient. Thhis is because of pressure changes in the patient, the patient moving a dislodging the or causing the femstop to slip, injury to the leg, a decrease in the pulse in that leg, etc. Does anyone have any thoughts on this and does anyone else do a one on one when a femstop is on? The nurses on my unit (Short Stay Unit) have at least 3 other patients besides this one. The other 2-3 nurses that are on the unit will take over those patients while this is going on. Some feedback on this would be great. THANKS.