TY - JOUR
T1 - Access site management with vascular closure devices for percutaneous transarterial procedures
AU - Bechara, Carlos F.
AU - Annambhotla, Suman
AU - Lin, Peter H.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2010/12
Y1 - 2010/12
N2 - The rising numbers in the aging population will undoubtedly lead to a corresponding increase in percutaneous endovascular procedures to address their cardiovascular health issues. With a constant drive to develop innovative treatment methods to achieve improved treatment outcomes while reducing procedural-related complications, endovascular interventionalists have focused on technologies to provide efficient hemostatic control of femoral artery access following percutaneous diagnostic or therapeutic angiographic procedures. Compared with the traditional hemostatic method using manual compression, several arterial closure devices (ACD) have been shown to reduce time of hemostasis, enable early patient ambulation, reduce hospitalization staff use, and improve patient outcome. However, these ACDs have their shortcomings as the interventionalists need to be familiar with these technologies as well as their potential complications. This article provides a comprehensive review of current closure device technologies as well as clinical experiences with these devices. The adjunctive role of these technologies in endovascular aortic aneurysm repair is also discussed.
AB - The rising numbers in the aging population will undoubtedly lead to a corresponding increase in percutaneous endovascular procedures to address their cardiovascular health issues. With a constant drive to develop innovative treatment methods to achieve improved treatment outcomes while reducing procedural-related complications, endovascular interventionalists have focused on technologies to provide efficient hemostatic control of femoral artery access following percutaneous diagnostic or therapeutic angiographic procedures. Compared with the traditional hemostatic method using manual compression, several arterial closure devices (ACD) have been shown to reduce time of hemostasis, enable early patient ambulation, reduce hospitalization staff use, and improve patient outcome. However, these ACDs have their shortcomings as the interventionalists need to be familiar with these technologies as well as their potential complications. This article provides a comprehensive review of current closure device technologies as well as clinical experiences with these devices. The adjunctive role of these technologies in endovascular aortic aneurysm repair is also discussed.
UR - http://www.scopus.com/inward/record.url?scp=77958108627&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77958108627&partnerID=8YFLogxK
U2 - 10.1016/j.jvs.2010.04.079
DO - 10.1016/j.jvs.2010.04.079
M3 - Review article
C2 - 20619582
AN - SCOPUS:77958108627
SN - 0741-5214
VL - 52
SP - 1682
EP - 1696
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
IS - 6
ER -