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

DRKS00000802.

Trial name or title VCD trial
Methods Study design : prospective, randomised clinical trial
Country : Germany
Setting : hospital
Number of centres : multi‐centre
Participants Inclusion criteria
  • Patients 18 years of age or older

  • Undergoing diagnostic angiography or coronary intervention with a 5 Fr or 6 Fr introducer sheath via femoral artery puncture


Exclusion criteria
  • Uncontrolled blood pressure > 180/110 mmHg

  • Previous vascular surgery or femoral bypass surgery

  • Previous femoral or iliac vascular intervention

  • Former femoral vascular closure with internal closure system (e.g. AngioSeal, CoStar)

  • Heavily calcified or atheromatous modified femoral artery

Interventions Intervention 1 : ExoSeal
Intervention 2 : Safeguard
Intervention 3: manual compression
Outcomes Primary
  • Combined endpoint of complications after puncture of the femoral artery (haematoma ≥ 5 cm, aneurysm spurium, bleeding with haemoglobin decrease ≥ 2 mg/dL, transfusion requirement, retroperitoneal haemorrhage, pressure ulcer ≥ grade 2, ischaemia of the ipsilateral lower extremity, nerve injury within 48 hours, after 7 days and 31 days


Secondary
  • Haematoma < 5 cm

  • Bleeding with haemoglobin drop < 2 mg/dL

  • Abrasion of the skin

  • Pressure ulcer grade 1

  • Prolonged tourniquet time

  • Prolonged hospitalisation

  • Fever within 24 hours after surgery

  • Local infection of the puncture

  • Pain

  • User satisfaction

Starting date May 2011
Contact information stefan.köberich at uniklinik‐freiburg.de
marc.kollum at hbh‐kliniken.de
Notes