Evidence map›Paper›PMID 34386892›Full record

Trial reportCardiovascular and interventional radiology2021

A Randomized Trial Comparing Polymer Versus Suture-Based Vascular Closure Devices for Arterial Closure Following Lower-Limb Arterial Endovascular Revascularization.

Yann Gouëffic, Jean Picquet, Fabrice Schneider, Adrien Kaladji, Olivier Marret, Laurent Muller, Béatrice Guyomarc'h, Valéry-Pierre Riche, Philippe Chaillou, Marie Guillou and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Cardiovascular and interventional radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03192033 (STEP), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03192033 nacompletednot on this map

STEP: Proglide® Versus Femoseal®: A Randomized Controlled Trial to Compare the Efficacy of Arterial Closure Devices Following Endovascular Peripheral Arterial Procedures

TypeinterventionalSponsorNantes University HospitalRan2017 to 2019Enrolled233ConditionsPeripheral Arterial DiseaseArmsArterial closure to ensure hemostasis at femoral artery puncture points, Proglide® (Abbott), Femoseal® (Terumo)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 1 country.

Yann GouëfficDepartment of Vascular and Endovascular Surgery, Paris Saint Joseph Hospital, Paris, France.
Jean PicquetDepartment of Vascular Surgery, Angers University Hospital, Angers, France.
Fabrice SchneiderDepartment of Vascular Surgery, Poitiers University Hospital, Poitiers, France.
Adrien KaladjiDepartment of Cardiovascular and Thoracic Surgery, Rennes University Hospital, Rennes, France.
Olivier MarretDepartment of Vascular Surgery, La Roche-sur-Yon Hospital, La Roche-sur-Yon, France.
Laurent MullerDepartment of Vascular Surgery, Cholet Hospital, Cholet, France.
Béatrice Guyomarc'hInstitut du Thorax, Nantes University Hospital/INSERM/CNRS/Nantes University, Nantes, France.
Valéry-Pierre RicheDivision of Health Product Development and Economic Evaluation, Department of Partnerships and Innovation, Nantes University Hospital, Nantes, France.
Philippe ChaillouDepartment of Vascular Surgery, Institut du Thorax, Nantes University Hospital, Nantes, France.
Marie GuillouDepartment of Vascular Surgery, Institut du Thorax, Nantes University Hospital, Nantes, France.
Bahaa NasrDepartment of Vascular Surgery, Brest University Hospital, Brest, France. nasr.bahaa@gmail.com.ORCID http://orcid.org/0000-0002-6672-9764
Institut du Thorax · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire de Rennes · FRCentre National de la Recherche Scientifique · FRInserm · FRRoche (France) · FRUniversité d'Angers · FRUniversité de Poitiers · FR

Funding

Direction de l'hospitalisation et de l'offre de Soins PHRC-IR 2017-A00894-49; ref: RC16_0466
6 · The paper itself

Abstract

purposesThe primary objective of this study (STEP trial) was to compare the efficacy of the polymer-based FemoSeal® vascular closure device (VCD) and the suture-based ProGlide® VCD in achieving hemostasis at the femoral access site after lower-limb arterial endovascular revascularization. MATERIALS AND

methodsSTEP was a multicenter randomized clinical trial including patients undergoing lower-limb arterial endovascular revascularization. The primary endpoint was technical success 5 h after the VCD intervention, defined as achievement of hemostasis without the need for a follow-up intervention at the access site and without a 2-g/dL drop in hemoglobin.

resultsBetween December 2017 and April 2019, 113 patients were assigned to the FemoSeal® group (FS) and 117 to the ProGlide® group (PG). VCD interventions were technically successful for 90 FS patients (80%) and 58 PG patients (50%) (odds ratio, 3.98; 95% CI, 2.22 to 7.14; p < 0.0001). This difference in success rates between FS and PG is partly explained by more frequent recourse to manual compression (FS: n = 19; PG: n = 45) and an additional VCD (FS: n = 0; PG: n = 23) in the latter group. After 5 h, 87% of FS patients and 69% of PG patients resumed ambulation (odds ratio: 3.07; 95% CI: 1.93 to 6.15; p = 0.0016).

conclusionsIn patients undergoing lower-limb arterial endovascular revascularization, FemoSeal® was superior to ProGlide® in terms of technical success. CLINICAL

trial registrationStep trial was registered on http://ClinicalTrials.gov (NCT03192033).

Indexed as

Vascular Closure DevicesFemoral ArteryHemostatic TechniquesHumansPolymersSuturesTreatment OutcomePolymersEndovascularFemoSealPeripheral arterial diseaseProGlideVascular closure device

Identifiers

PMID34386892
OpenAlexW3192987088

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.