Suture closure AFtEr large bore vein access (SAFE-VEIN): A randomized, prospective study of the efficacy and safety of venous closure device.

BACKGROUND: Perclose ProGlide (PPG) Suture-Mediated Closure System™ is safe and can reduce time to hemostasis following procedures requiring arterial access. AIMS: We aimed to compare PPG to figure of 8 suture in patients who underwent interventional catheter procedures requiring large bore venous access (LBVA) (≥13 French). METHODS: In this physician-initiated, randomized, single-center study [clinicaltrials.gov ID: NCT04632641], single-stick venous access was obtained under ultrasound guidance. Eligible patients were randomized 1:1, and 100 subjects received allocated treatment to either PPG (n = 47) or figure of 8 suture (n = 53). No femoral arterial access was used in any patient. Primary outcomes were time to achieve hemostasis (TTH) and time to ambulation (TTA). Secondary outcomes were time to discharge (TTD) and vascular-related complications and mortality. Wilcoxon rank-sum test was used to compare TTH, TTA, and TTD. RESULTS: TTH (minutes) was significantly lower in PPG versus figure of 8 suture [median, (Q1, Q3)] [7 (2,10) vs. 11 (10,15) respectively, p < 0.001]. TTA (minutes) was significantly lower in PPG compared to figure of 8 suture [322 (246,452) vs. 403 (353, 633) respectively, p = 0.005]. TTD (minutes) was not significantly different between the PPG and figure of 8 suture arms [1257 (1081, 1544) vs. 1338 (1171,1435), p = 0.650]. There was no difference in minor bleeding or access site hematomas between both arms. No other vascular complications or mortality were reported. CONCLUSION: PPG use had lower TTH and TTA than figure of 8 suture in a population of patients receiving LBVA procedures. This may encourage same-day discharge in these patients.

A study of the partitioning of haloacetates into cetylpyridinium chloride micelles using semiequilibrium dialysis and ultrafiltration.

Haloacetic acids, formed in drinking water during disinfection by chlorination, pose significant risks to human health. Semiequilibrium dialysis and ultrafiltration experiments were used to examine the partitioning of the five regulated haloacetic acids (HAA(5)) viz. chloro-, dichloro-, trichloro-, bromo-, and dibromoacetic acids into cetylpyridinium chloride (CPC) micelles across a range of micellar mole fraction, surfactant concentration, and added NaCl conditions. The results of these experiments were successfully correlated using a nonlinear three-site equilibrium model, which combines thermodynamic relations with the Oosawa two-state binding theory, incorporates allowances for nonideality, and includes a parameter to account for haloacetate solubilization. Micellar-enhanced ultrafiltration using CPC provided excellent HAA(5) removal efficiencies of over 98%.