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KMID : 1033420130160010208
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Journal of Korean Society of Cardio-Vascular Interventional Technology
2013 Volume.16 No. 1 p.208 ~ p.208
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Efficiency of lidocaine Tumescence Method for the Prevention of Skin Stitch Complication of Suture-mediated Closure Device
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Kim Min-Kyu
Lee Moo-Sook
Won Jong-Yoon
Park Sung-Il
Kim Man-Deuk
Lee Do-Yeon
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Abstract
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Purpose: Skin stitch complication after suture-mediated closure device could develop the arteriotomy exposure and wound infection. This study was to evaluate the efficiency of lidocaine tumescence method for the prevention of skin stitch complication.
Materials and methods: Among patients who underwent femoral catheterization for angiography and intervention at single center from June 2011 to December 2012, 298patients (M:F=251:47) who closed arteriotomy with a suture-mediated closure device were subjects. Perclose proglide (Abbott, Redwood city, California) was used. On control group (n=206), a retrospective study was carried out while on experimental group (n=92), a study of applying a protocol of injecting 5~6ml of lidocain 2% around the puncture site before using the VCD and elevating the skin by 2~3mm and then closing was carried out. In consideration of variables such as skin to SFA depth, incision length and work experiences that might affect skin
stitch complication, the two groups were statistically analyzed through SAS 9.2 ver. (Institute Inc., Cary, NC, USA).
Result: In the control group(n=206), stitch complication (n=9)on the skin and femoral artery occurred (4.4%). In the experimental group(n=92) to which the protocol was applied, the stitch complication on the skin and femoral artery(n=0) did not occur. As a statistical analysis, when in the control group, the depth of skin to femoral artery was less than 6mm(p<0.001) and the incision length was less than 4mm(p<0.001), stitch complication occurred. Other than that, there was no relation with the operator's work experience.
Conclusions: In using the suture-mediated closure device, to prevent skin stitch complication occurring when the depth of skin to femoral artery is thin and the incision length is short, the skin stitch complication can be reduced if lidocain injection around the patient's arteriotomy is carried out, so it will have a preventive effect on the infection of the arteriotomy
wound.
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KEYWORD
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Vascular Closure Device, suture-mediated closure device, skin stitch complication
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