Venous hemostasis postcatheter ablation of XXXX while under therapeutic levels of oral and intravenous anticoagulation.

@entity2801 @entity1 @entity6950 @entity1031 @entity955 @entity1211
PURPOSE: Catheter ablation of @entity955 ( @entity955 ) requires utilizing multiple venous femoral sheaths in conjunction with aggressive periprocedural anticoagulation, which can lead to increased risk of vascular access complications. The objective of this study is to evaluate the safety and efficacy of the "figure-of-eight" (" @entity2801 ") suture technique for femoral @entity1211 while on therapeutic doses of intravenous anticoagulation at the time of sheath removal. METHODS: In this case-control analysis, 376 consecutive @entity1 underwent @entity955 ablation while on uninterrupted oral anticoagulation and received intraprocedural heparin. In the first 253 @entity1 (the control group), manual pressure was used for femoral @entity1211 after reversal of @entity6950 effects. The subsequent 123 @entity1 (the @entity2801 group) had femoral @entity1211 using the @entity2801 suture technique and while under therapeutic heparin effects. RESULTS: The @entity2801 subcutaneous suture technique achieved adequate @entity1211 in 98.4  % of @entity1 . As compared to the control group, there was significantly less frequent utilization of the FemoStop compression assist device (1.2 vs. 16.8  %, p   <   0.0001) and in a significantly shorter interval (6.8        5.7 vs. 50.7        12.2  min, p   <   0.0001). Vascular access complications and @entity1031 events occurred in 9.8  % in the @entity2801 group vs. 13.0  % in the control group (p   =   0.678). CONCLUSIONS: Immediate hemostasis of the femoral venous access sites after insertion of multiple sheaths for @entity955 ablation in the presence of anticoagulation can be safely and effectively achieved using the @entity2801 suture technique. This technique helps minimize the period of inadequate anticoagulation immediately following ablation and shortens the time required to achieve adequate hemostasis.
