Instrumental Sealing of Arterial Puncture Site Closure Device Versus Manual Compression Trial (ISAR-CLOSURE)

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Deutsches Herzzentrum Muenchen Identifier:
First received: July 5, 2011
Last updated: May 15, 2014
Last verified: May 2014
Are novel vascular closure devices noninferior to manual compression regarding access site complications after coronary angiography?

Condition Intervention Phase
Coronary Artery Disease
Device: FemoSeal®
Device: ExoSeal®
Other: Manual compression
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Instrumental Sealing of Arterial Puncture Site Closure Device Versus Manual Compression Trial

Further study details as provided by Deutsches Herzzentrum Muenchen:

Primary Outcome Measures:
  • Composite of arterial access related complications [ Time Frame: 30 days ] [ Designated as safety issue: Yes ]

    Composite of arterial access related complications, defined as the composite of:

    • Rate of ipsilateral groin hematomas with largest diameter exceeding 5 cm
    • Pseudoaneurysm
    • AV-Fistula
    • Major bleeding
    • Critical limb ischemia
    • Local infection
    • Surgical repair
    • Revascularisation

Secondary Outcome Measures:
  • Time to hemostasis, from sheath removal to complete hemostasis [ Time Frame: 30 days ] [ Designated as safety issue: Yes ]
  • Device deployment failure [ Time Frame: 30 days ] [ Designated as safety issue: No ]
  • Need for repeated manual compression after end of closure procedure [ Time Frame: 30 days ] [ Designated as safety issue: Yes ]
  • Cost-benefit Analysis [ Time Frame: 30 days ] [ Designated as safety issue: No ]

Enrollment: 4524
Study Start Date: July 2011
Estimated Study Completion Date: July 2014
Estimated Primary Completion Date: June 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: FemoSeal®
Device: FemoSeal®
Device: FemoSeal®
Closure device for femoral artery access closure
Experimental: ExoSeal®
Device: ExoSeal®
Device: ExoSeal®
Closure device for femoral artery access closure
Active Comparator: Manual compression
Other: Manual compression
Other: Manual compression
Conventional manual compression

Detailed Description:

Vascular closure devices have been shown to be safe and effective in reducing the time to hemostasis and immobilization when compared to manual compression following coronary angiography. This effect is beneficial in patients presenting with chronic back pain, prostate enlargement, mental impairment or other disorders that preclude prolonged bed rest.

However, adequately powered large scale randomized trials with vascular closure devices remain a gap in the scientific literature.

This trial compares, in a randomised design two novel vascular closure devices (FemoSeal & ExoSeal) versus manual compression after coronary angiography. This study is aimed to investigate if novel vascular closure devices are noninferior to manual compression regarding access site complications.


Ages Eligible for Study:   18 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patient between 18 and 85 years of age
  • Patients undergoing femoral access coronary angiography
  • Access only with 6 F sheath
  • Patient must be competent for providing informed written consent

Exclusion Criteria:

  • Peripheral arterial occlusive disease
  • Prior peripheral artery surgery
  • Percutaneous coronary intervention
  • Femoral access device closure in last 30 days
  • Scheduled Coronary Angiography/Intervention within 90 days
  • Critical limb ischemic
  • Uncontrolled hypertension >220/110 mmHg
  • Coagulopathy (bleeding disorder)
  • Local infection
  • Common femoral artery lumen diameter < 5 mm
  • Allergy to absorbable suture
  • Autoimmune Disease
  • Pregnancy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01389375

Deutsches Herzzentrum Muenchen
Munich, Germany, 80636
Klinikum rechts der Isar
Munich, Germany, 81675
Sponsors and Collaborators
Deutsches Herzzentrum Muenchen
Principal Investigator: Maryam Linhardt, MD Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen
  More Information

No publications provided by Deutsches Herzzentrum Muenchen

Additional publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Deutsches Herzzentrum Muenchen Identifier: NCT01389375     History of Changes
Other Study ID Numbers: GE IDE No. PCD00111 
Study First Received: July 5, 2011
Last Updated: May 15, 2014
Health Authority: Germany: Ethics Commission

Keywords provided by Deutsches Herzzentrum Muenchen:
Closure Device
Coronary Angiography

Additional relevant MeSH terms:
Coronary Artery Disease
Coronary Disease
Myocardial Ischemia
Arterial Occlusive Diseases
Cardiovascular Diseases
Heart Diseases
Vascular Diseases processed this record on February 10, 2016