Objective: To compare the complications of using Angioseal ® versus manual compression in patients undergoing cardiac catheterization at the Service Hemodynamics of the Fundación Santa Fe de Bogotá, from 1 January 2005 to 31 December 2010, by femoral artery puncture percutaneously. Methodology: An observational, analytical, retrospective cohort study. Based on two groups of people with cardiac catheterization indication for any reason, one exposed to Angioseal ® procedure and the other with manual compression. Results: With the use of manual compression Angioseal ® versus the occurrence of complications was 7.3% vs 4.1%, these differences were not significant (OR 1.81 CI95 0.96 to 3.40, RR 1.75 CI95 0.96 to 3.18). Coronary heart disease (OR 2.27 CI95 1.07 to 4.79, RR 2.18 CI95 1.06 to 4.46) and stent placement (OR 3.49 CI95 1.82 to 6.69, RR CI95 3.25 1.75 to 6.02 were significantly associated with occurrence of minor complications. CONCLUSION: We found no support to approve or disapprove the use of Angioseal ® or manual compression as hemostasis management, respect to complications . However, we found that the stent is strongly related to the development of minor complications, which makes that these patients must be closely monitored.
