Vascular Closure: the ABC’s

Purpose of Review Vascular access and closure is a key part of endovascular procedures, and access site-related complications are an independent predictor of adverse procedural outcomes. The purpose of this review is to discuss the methods of vascular closure including manual compression, vascular c...

Full description

Saved in:
Bibliographic Details
Published in:Current cardiology reports 2022-04, Vol.24 (4), p.355-364
Main Authors: Bhogal, Sukhdeep, Waksman, Ron
Format: Article
Language:English
Subjects:
Cardiology
Endovascular Procedures
Femoral Artery
Hemostatic Techniques - adverse effects
Humans
Interventional Cardiology (SR Bailey and T Helmy
Medicine
Medicine & Public Health
Punctures
Section Editors
Topical Collection on Interventional Cardiology
Treatment Outcome
Vascular Closure Devices - adverse effects
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose of Review Vascular access and closure is a key part of endovascular procedures, and access site-related complications are an independent predictor of adverse procedural outcomes. The purpose of this review is to discuss the methods of vascular closure including manual compression, vascular closure devices (VCDs) for both arterial and venous arteriotomies, their mechanisms, and access site-related complications. Recent Findings Various VCDs have been approved over the last three decades. These devices have different mechanisms to achieve hemostasis and are generally categorized into active and passive approximators. Studies have largely found that they are non-inferior to manual compression. Summary Uncomplicated vascular closure is pertinent to avoid adverse procedure-related outcomes. The emergence of VCDs has reduced time to hemostasis, facilitating early ambulation and discharge and reducing hospitalization cost with comparable complication rate to manual compression. Nonetheless, they should be used in favorable vascular anatomy and are not intended to reduce complications.
ISSN:1523-3782
1534-3170
DOI:10.1007/s11886-022-01654-z