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. 2016 Mar 7;2016(3):CD009541. doi: 10.1002/14651858.CD009541.pub2

Amine 1999.

Methods Study design : randomised study
Participants Country : France
Setting : hospital
Number of centres : 1
Numbers: Techstar 50, manual compression 50
Age (mean (SD)) : Techstar 61 (10) years, manual compression 60 (8) years
Sex : Techstar 72 M/28 F, manual compression 70 M/30 F
Inclusion criteria : patients undergoing diagnostic coronography
Exclusion criteria : patients in an acute phase of myocardial infarct, with or without thrombolysis treatment, with known anomalies of coagulation or plaque counting, with severe and uncontrollable arterial hypertension (systolic > 190 mmHg and diastolic >110 mmHg) and inflammation of arthritis of the inferior limbs
Interventions Intervention 1 : PerClose
Intervention 2 : manual compression
Sheath size : 6 Fr
Outcomes Primary : clinical and ultrasound complications during the first 15 days after treatment
Secondary : time to haemostasis; time to ambulation (defined as time between removal of the closure device and the moment the participant could stand up and walk for 5 metres); success rate of the system
Clinical exams at 1 hour and 24 hours looked for signs of ischaemia, haematoma, re‐bleeding, pseudo‐aneurysm and arteriovenous fistula. Doppler echographic examination at 24 hours looked for signs of haematoma, pseudo‐aneurysm, arteriovenous fistula, intra‐arterial thrombus or the presence of arterial narrowing at the puncture level
Notes Coronography with 6 Fr sheath for all participants
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Patients were randomised in blocks of 4 for the manual compression group and by envelope opened at the end of the coronography procedure for the suture device group"
Comment: Envelopes were used, so sequence generation was probably random. Study was judged to be at low risk of selection bias
Allocation concealment (selection bias) Low risk Quote: "closed envelope system"
Comment: Envelopes were sealed, so the study was judged to be at low risk of selection bias
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk No blinding, but review authors judged that outcomes and outcome measurements are not likely to be influenced by lack of blinding
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Insufficient information to permit judgement of high or low risk
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing data
Selective reporting (reporting bias) Unclear risk Insufficient information to permit judgement of high or low risk
Other bias Unclear risk Insufficient information to permit judgement of high or low risk