Access-site closure with a kaolin-filled pad after intervention with large access sheaths: a retrospective single-center study

  • This report summarizes our initial experience with QuikClot Interventional Hemostatic Bandage (QCI) under thrombocyte aggregation inhibition following interventional procedures using 8 French (Fr) catheters or larger, and investigates the feasibility, efficacy, and safety of procedures conducted on 27 patients. Methods We performed a retrospective analysis of patients who underwent QCI application after interventional procedures using 8 French (Fr) catheters or larger between 16.02.2021 and 20.01.2025 at a tertiary referral center. Results Of the 27 patients included, 20 were male. The mean age was 69 ± 10.2 years, and the mean BMI was 24.6 kg/m2 (± 4.1 kg/m2). 15/27 of the procedures performed were peripheral interventions for peripheral arterial disease. The most common access sheath size was 8 Fr (23/27), and the maximum size was 14 Fr. The technical success rate of the QCI application was 100%. In all patients, a false aneurysm (FA) in need of revision could be excluded viaThis report summarizes our initial experience with QuikClot Interventional Hemostatic Bandage (QCI) under thrombocyte aggregation inhibition following interventional procedures using 8 French (Fr) catheters or larger, and investigates the feasibility, efficacy, and safety of procedures conducted on 27 patients. Methods We performed a retrospective analysis of patients who underwent QCI application after interventional procedures using 8 French (Fr) catheters or larger between 16.02.2021 and 20.01.2025 at a tertiary referral center. Results Of the 27 patients included, 20 were male. The mean age was 69 ± 10.2 years, and the mean BMI was 24.6 kg/m2 (± 4.1 kg/m2). 15/27 of the procedures performed were peripheral interventions for peripheral arterial disease. The most common access sheath size was 8 Fr (23/27), and the maximum size was 14 Fr. The technical success rate of the QCI application was 100%. In all patients, a false aneurysm (FA) in need of revision could be excluded via sonography. QCI-associated complication rate was 3.7 %. One surgical revision was performed within the first 30 days. One case of mortality (1/27) was unlikely to be associated with the VCD. Conclusion The present study demonstrated that using QCI for access-site closure is easy and effective in combination with manual compression and a pressure bandage, even in cases of large-bore arteriotomies (≥8Fr) and under thrombocyte aggregation inhibition.show moreshow less

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Metadaten
Author:Hagen KerndlORCiD, Viktoria PetersORCiDGND, Sebastian ZerwesORCiDGND, Alexander Hyhlik-DürrORCiDGND, Dominik LiebetrauGND
URN:urn:nbn:de:bvb:384-opus4-1263545
Frontdoor URLhttps://opus.bibliothek.uni-augsburg.de/opus4/126354
ISSN:0890-5096OPAC
Parent Title (English):Annals of Vascular Surgery
Publisher:Elsevier BV
Place of publication:Amsterdam
Type:Article
Language:English
Year of first Publication:2026
Publishing Institution:Universität Augsburg
Release Date:2025/11/24
Volume:124
First Page:101
Last Page:108
DOI:https://doi.org/10.1016/j.avsg.2025.10.039
Institutes:Medizinische Fakultät
Medizinische Fakultät / Universitätsklinikum
Medizinische Fakultät / Lehrstuhl für Gefäßchirurgie
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):CC-BY 4.0: Creative Commons: Namensnennung