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2015 ; 5
(ä): 13761
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Network Meta-analysis of Randomized Trials on the Safety of Vascular Closure
Devices for Femoral Arterial Puncture Site Haemostasis
#MMPMID26349075
Jiang J
; Zou J
; Ma H
; Jiao Y
; Yang H
; Zhang X
; Miao Y
Sci Rep
2015[Sep]; 5
(ä): 13761
PMID26349075
show ga
The safety of vascular closure devices (VCDs) is still debated. The emergence of
more related randomized controlled trials (RCTs) and newer VCDs makes it
necessary to further evaluate the safety of VCDs. Relevant RCTs were identified
by searching PubMed, EMBASE, Google Scholar and the Cochrane Central Register of
Controlled Trials electronic databases updated in December 2014. Traditional and
network meta-analyses were conducted to evaluate the rate of combined adverse
vascular events (CAVEs) and haematomas by calculating the risk ratios and 95%
confidence intervals. Forty RCTs including 16868 patients were included.
Traditional meta-analysis demonstrated that there was no significant difference
in the rate of CAVEs between all the VCDs and manual compression (MC). Subgroup
analysis showed that FemoSeal and VCDs reported after the year 2005 reduced
CAVEs. Moreover, the use of VCDs reduced the risk of haematomas compared with MC.
Network meta-analysis showed that AngioSeal, which might be the best VCD among
all the included VCDs, was associated with reduced rates of both CAVE and
haematomas compared with MC. In conclusion, the use of VCDs is associated with a
decreased risk of haematomas, and FemoSeal and AngioSeal appears to be better
than MC for reducing the rate of CAVEs.