Access and closure management of large bore femoral arterial access

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Diagnostic and Therapeutic Cardiovascular Procedures Femoral Arterial Access and Closure

Femoral arterial access is the most common method of vascular access for coronary angiography and percutaneous coronary intervention in the United States.1 It is an often underestimated but important aspect of the procedure, and is the single most frequent cause of complications during coronary angiography and intervention.2 Hyperlinked to this article is a video that shows a PVI procedure perf...

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Percutaneous Plug-Based Arteriotomy Closure Device for Large-Bore Access: A Multicenter Prospective Study.

OBJECTIVES The authors sought to study the safety and efficacy of the MANTA Vascular Closure Device (VCD), a novel collagen-based technology dedicated to closure of large-bore arteriotomies. BACKGROUND Novel transfemoral therapeutic interventions requiring large-bore catheters have become valid minimally invasive options but have inherent access management challenges. To date, no dedicated va...

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The use of percutaneous suture-mediated closure for the management of 14 French femoral venous access.

BACKGROUND Little has been reported regarding the utility or outcomes of femoral venous vascular closure using arterial suture closure devices. We describe results using a pre-closure approach with a 6 French (Fr) Perclose Closer S device in patients who underwent antegrade aortic valvuloplasty using 14 Fr percutaneous femoral venous access catheters. METHODS Forty-five patients underwent ant...

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Pre-closure of Large-Sized Arterial Access Sites in Adults Undergoing Transcatheter Structural Interventions

INTRODUCTION Patients undergoing structural heart interventions often require large-sized sheath insertion into femoral arteries and veins. Clinical outcome data on the use of suture-mediated devices for large femoral arterial access in structural heart interventions is limited. We assessed the efficacy of the Perclose™ (Abbott Vascular Devices, Santa Clara, CA, USA) suture-mediated device usin...

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Femoral access management: comparison between two different vascular closure devices after percutaneous coronary intervention.

OBJECTIVES Several devices have been proposed as an alternative to manual compression (MC) for femoral access management (FAME) following catheterization. Although these devices allow earlier ambulation, they have not always been shown to reduce vascular complications. As a consequence, their cost efficacy is not obvious. METHODS During MC a special catheter deployed temporarily within the ar...

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ژورنال

عنوان ژورنال: Journal of Interventional Cardiology

سال: 2018

ISSN: 0896-4327

DOI: 10.1111/joic.12571