JAMA : the journal of the American Medical Association
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Review Meta Analysis
Arterial puncture closing devices compared with standard manual compression after cardiac catheterization: systematic review and meta-analysis.
Arterial puncture closing devices (APCDs) were developed to replace standard compression at the puncture site and to shorten bed rest following percutaneous coronary intervention. ⋯ Based on this meta-analysis of 30 randomized trials, many of poor methodological quality, there is only marginal evidence that APCDs are effective and there is reason for concern that these devices may increase the risk of hematoma and pseudoaneurysm.