Trial name or title |
CLOSE‐UP II trial |
Methods |
Study design : randomised parallel‐assignment open‐label Country : Denmark Setting : hospital Number of centres : multi‐centre |
Participants |
Inclusion criteria
Ability to provide valid informed signed consent
PCI procedure including treatment by balloon and/or stent
PCI indicated by silent ischaemia, stable angina pectoris, non‐ST elevation myocardial infarction (NSTEMI) or ST elevation myocardial infarction (STEMI)
Exclusion criteria
Only coronary angiography
Multiple punctures
Active infection
Groin haematoma before the closure procedure
Sheath size > 7 Fr
Known pseudoaneurysm or arterio‐venous (AV) fistula in the ipsilateral groin
Prior arterial surgery in abdomen and/or lower extremities
Cardiogenic shock
Life expectancy < 1 year
Female of childbearing potential with possible pregnancy or positive pregnancy test within 7 days before index procedure, or lactating
Simultaneous or planned subsequent femoral vein access
Allergy to any of the components in the closure material left in the groin
Puncture of same site < 30 days
Peripheral artery disease patients can be included at operator's discretion except if heavy calcification is present at the access site, which at the operator's discretion precludes insertion of the VCD
|
Interventions |
Intervention 1 : AngioSeal Intervention 2 : ExoSeal |
Outcomes |
Primary
Incidence at 30 days of the composite endpoint of access site‐related major adverse vascular events. This includes major bleeding and/or bleeding necessitating blood transfusion, pseudoaneurysm with indication for treatment, arteriovenous fistula, groin surgery and/or possible related vascular surgery and infection needing antibiotic
Secondary
Time to haemostasis from removal of the sheath (AngioSeal) or insertion of the device (ExoSeal) until haemostasis
Device failure
Vasovagal reaction until 5 minutes after end of closure procedure
Need for new onset of manual compression
Pain and discomfort related to the closure procedure
Time to mobilisation
In‐hospital large groin haematoma
Bleeding according to BARC definitions
Major bleeding and/or bleeding necessitating blood transfusion
Pseudoaneurysm with indication for treatment
Arteriovenous fistula
Groin surgery and/or possible related vascular surgery
Infection needing antibiotics
Need for medical evaluation of possible closure procedure‐related symptom(s)
|
Starting date |
December 2012 |
Contact information |
hellbarg@rm.dk niels.holm@clin.au.dk |
Notes |
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