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Current Cardiology Reports
Erschienen in: Current Cardiology Reports 4/2022

03.03.2022 | Interventional Cardiology (SR Bailey and T Helmy, Section Editors)

Vascular Closure: the ABC’s

Erschienen in: Current Cardiology Reports | Ausgabe 4/2022

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Abstract

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.
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Metadaten
Titel
Vascular Closure: the ABC’s
Publikationsdatum
03.03.2022
Erschienen in
Current Cardiology Reports / Ausgabe 4/2022
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-022-01654-z

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