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Study of the SafeSeal(TM) Hemostasis Patch Following Percutaneous Coronary Artery and Peripheral Vascular Interventions

A Prospective Randomized Controlled Efficacy and Safety Trial of the SafeSeal Hemostasis Patch Compared to Manual Compression for Achieving Vascular Hemostasis Following Percutaneous Coronary and Peripheral Intervention.

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00481741
Enrollment
150
Registered
2007-06-04
Start date
2007-05-31
Completion date
2007-12-31
Last updated
2009-07-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Coronary Artery Disease, Peripheral Vascular Disease

Keywords

Angioplasty, Percutaneous TransluminalCoronary

Brief summary

We seek to determine if the use of the SafeSeal(TM) topical hemostasis patch is associated with reductions in time to hemostasis and time to ambulation compared to standard manual compression after arterial sheath removal following percutaneous coronary and peripheral intervention. We further seek to assess the safety of the SafeSeal patch compared to manual compression.

Detailed description

A variety of topical hemostasis pads containing procoagulant materials are currently available to accelerate hemostasis after removal of the arterial introducer sheath following coronary and peripheral arterial angioplasty procedures. The effectiveness and safety of these pads, however, remains poorly understood. A total of 150 patients undergoing coronary or peripheral vascular angioplasty through a 6 French arterial sheath will be randomized to sheath removal using manual compression alone or manual compression combined with use of the SafeSeal(TM) hemostasis patch. Sheaths will be removed at an activated clotting time (ACT) of \<250 seconds, and patients will be kept at bedrest for 2 hours after hemostasis is achieved. The primary endpoint will be time to hemostasis. Secondary endpoints witll include time to ambulation and frequency of bleeding complications.

Interventions

DEVICESafeSeal(TM) Hemostasis Patch

Sponsors

MEDRAD, Inc.
CollaboratorINDUSTRY
University of Rochester
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Patient ≥ 18 years old 2. Coronary or peripheral vascular intervention 3. 6 French arterial sheath used 4. Overnight hospitalization following procedure

Exclusion criteria

1. Hematoma or persistent bleeding around the vascular sheath 2. Previous AV fistula or pseudoaneurysm in the ipsilateral femoral artery 3. History of bleeding diathesis or coagulopathy 4. Hemoglobin level \< 9 g/dl 5. Inability to ambulate at baseline 6. Known allergy to any of the materials used in the SafeSeal 7. Female patients known to be pregnant or lactating 8. Evidence of ongoing systemic or cutaneous infection 9. Uncontrolled blood pressure following PCI (systolic blood pressure \> 180 or diastolic blood pressure \>110) 10. Current enrolment in another ongoing investigational drug/device trial.

Design outcomes

Primary

MeasureTime frame
Time to achieve hemostasis of femoral artery after arterial sheath removalimmediate

Secondary

MeasureTime frame
vascular access-related bleeding complicationsprior to hospital discharge

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026