Ep. 384 New Innovations in Closure Devices with Dr. Omar Saleh and Dr. Syed Hussain
Nov 13, 2023
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Dr. Omar Saleh, interventional radiologist, and Dr. Syed Hussain, vascular surgeon, discuss new innovations in closure devices. They highlight the advantages of consistent closure devices, patient preferences, and introduce the CELT ACD closure device. The ease of deployment and reliability of results using CELT are discussed, along with its potential drawbacks. The doctors also cover time to ambulation/discharge, closure-site complications, good outcomes with calcified arteries, and ease of bailout options. They conclude by discussing how physicians can obtain CELT.
The KELT closure device has revolutionized outpatient-based lab (OBL) procedures by allowing for quicker and more efficient procedures without the need for prolonged bed rest or post-procedure monitoring.
The KELT closure device significantly improves the patient experience by enabling faster recovery times, reducing discomfort, and minimizing the risk of complications such as hematomas or pseudoaneurysms.
The KELT closure device offers high levels of technical precision and safety, providing easy deployment, control over placement, and minimal risk of dislodging plaque.
Deep dives
Benefits of Using the KELT Device in the OBL Setting
Using the KELT device in the outpatient-based lab (OBL) setting has proven to be a game changer. The device allows for quicker procedures as there is no need for prolonged bed rest or post-procedure monitoring. This helps increase efficiency and throughput in the OBL. Additionally, the KELT device provides a more predictable and secure closure, which is crucial in the OBL where patients rely on the expertise of the physicians without the same level of backup as in a hospital setting.
Improved Patient Experience and Satisfaction
The use of the KELT device has significantly improved the patient experience and satisfaction. Patients can get up and walk shortly after the procedure, leading to faster recovery times and reduced discomfort. The device also minimizes the risk of complications such as hematomas or pseudoaneurysms, enhancing patient outcomes and increasing satisfaction levels. The KELT device's efficient and reliable closure capabilities contribute to an overall positive patient experience in both the OBL and hospital settings.
Technical Precision and Safety of the KELT Device
The KELT device offers high levels of technical precision and safety. It allows for easy deployment and retraction, and physicians have control over placement against the arterial wall to minimize the risk of dislodging plaque. The device's collapsible discs aid in retrieval if needed. Complications stemming from technical errors are rare, making the KELT device a trusted and reliable closure option that delivers consistent results.
Potential for Cost Containment and Improved Metrics
The KELT device's positive impact on patient satisfaction and outcomes presents an opportunity for cost containment and improved metrics. In the OBL, where patient throughput and efficiency are critical, the KELT device enables faster procedures and allows for quicker patient discharge. This reduces the need for overnight stays and additional monitoring, resulting in cost savings and improved metrics related to patient care and experience. Hospitals can leverage these benefits to advocate for the adoption of the KELT device and demonstrate its value in terms of patient-centered care and economic efficiency.
Overcoming Adoption Challenges in Hospital Settings
While the benefits of the KELT device are clear, adoption in hospital settings may face challenges. Physicians' preferences and resistance to change can hinder adoption, even with evidence of improved outcomes. Nevertheless, hospitals can emphasize the device's cost-effectiveness, patient satisfaction, and positive metrics to persuade physicians and committees of its value. Highlighting the ease of implementation, reproducibility, and technical advantages can alleviate concerns and facilitate the acceptance of the KELT device in hospital-based practices.
In this episode, host Dr. Aaron Fritts interviews vascular surgeon Dr. Syed Hussain and interventional radiologist Dr. Omar Saleh about new innovations in closure devices.
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SHOW NOTES
We begin the episode by discussing how closure devices have evolved over recent years and gained popularity in both hospital and OBL settings. Dr. Hussain and Dr. Saleh highlight the logistical advantages associated with a consistent, reliable closure device. Both doctors speak about their patients’ reported experiences and preferences for different types of closure devices and the importance of having a variety of options at hand.
Dr. Saleh and Dr. Hussain also introduce the new CELT ACD closure device from Vasorum. We learn how to place a CELT, and Dr. Saleh highlights the ease of deployment and the reliability of results. Dr. Hussain also shares his experience in using the CELT, comparing its deployment to a “mic drop”. Additionally, we discuss if there are any potential drawbacks or special considerations that may exist in using CELT compared to other devices.
The doctors cover the time from CELT closure to ambulation/discharge, citing an abstract published in Journal of Vascular Surgery (see resources below). Dr. Hussain and Dr. Saleh also report very few closure-site complications when using CELT, good outcomes with calcified arteries, and ease of bailout options. To conclude the episode, we discuss how physicians can get CELT and other products into their hospital or OBL through the Agency for Healthcare Research and Quality (AHRQ), Consumer Assessment of Healthcare Providers and Systems (CAHPS) scores, and other methods.
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RESOURCES
Safety and Efficacy of the CELT ACD Femoral Arteriotomy Closure Device in the Office-based Laboratory:
Silent cerebral infarct after cardiac catheterization as detected by diffusion weighted Magnetic Resonance Imaging: a randomized comparison of radial and femoral arterial approaches: