Accelerated ambulation after vascular access closure device

Brancheau, Daniel; Sarsam, Sinan; Assaad, Mahmoud; Zughaib, Marcel

doi:10.1177/1753944718756604

Cited by 8 publications

(3 citation statements)

References 8 publications

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“… 1 , 2 , 4 , 5 Increased patient satisfaction, comfort as well as accelerated ambulation have also been reported. 6 , 7 Some studies have shown that certain types of VCDs are 95–100% effective in achieving hemostasis with minimal complications. 3 , 8 – 10 In addition, the use of ultrasound-guidance of femoral artery access has increased the safety and effectiveness of the VCDs.…”

Section: Discussionmentioning

confidence: 99%

Safety and effectiveness of vascular closure devices in interventional radiological procedures

et al. 2022

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Background Although it is well known that vascular closure devices (VCD) are commonly used in therapeutic interventional radiological procedures, standard use in diagnostic procedures is not as well studied. Purpose The aim of this study was to determine the real-world safety and effectiveness of the VCD in both diagnostic and therapeutic interventional radiological procedures. Materials and methods A retrospective, single center study included all patients where VCDs were used for either a diagnostic or therapeutic interventional procedure. Various demographic and clinical risk factors were recorded and examined for any significant association with successful deployment and complications. Results A total of 2072 patients were included. VCDs were successfully deployed in 95.2% of the patients with 4.8% of perioperative complications, which included minor oozing from the puncture site, small hematoma less than or equal to 5 cm, large hematoma greater than 5 cm, pain, and loss of vascular access. Therapeutic (vascular interventional radiology (VIR) and neuro-interventional radiology (NIR)) procedures (OR 3.03, 95% CI 1.51–6.09, p = 0.002), use of Angioseal (OR 5.26, 95% CI 3.13–8.33), p < 0.001), and no use of antiplatelet medications (OR 0.47, 95% CI 0.22–0.97, p = 0.041) were independently associated with successful deployment of VCDs when controlled for other risk factors. Smoking (OR 3.50, 95% CI 2.00–6.05, p = <0.001), use of antiplatelet (OR 2.01, 95% CI 1.04–3.87, p = 0.037) and use of heparin (OR 1.78, 95% CI 1.10–2.86, p = 0.018) were independently associated with higher complication rates. Conclusion VCD's were successfully deployed in 95.2% of the patients with 4.8% of perioperative minor complications.

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Section: Discussionmentioning

confidence: 99%

Safety and effectiveness of vascular closure devices in interventional radiological procedures

et al. 2022

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“…Some institutes have percutaneous closure devices too. 7 We should be careful to prevent groin hematoma. The limb is immobilized with a sandbag kept on top of the dressing gauze.…”

Section: Post-proceduresmentioning

confidence: 99%

Digital Subtraction Angiography a Door Opener for Neurosurgical Residents who want to Perform Neurointerventional Procedures

Rajbhandari¹,

Gurung²,

Rajbhandari³

et al. 2021

Kathmandu Univ. Med. J.

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Digital subtraction angiography (DSA) has been a fluoroscopic golden investigative tool to know the vascular angiography of the brain and spinal cord. The technique in performing this procedure exposes residents in accessing the major vessels, branches of the arch of aorta, selective angiography and diagnosing different vascular anomalies of brain and spine. They are also exposed to the knowledge of different diagnostic catheters, its manipulation, use of dye and radiation exposure and safety. We would like to share our experience in training and disseminating the knowledge of digital subtraction angiography to the residents.

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“…Arterial closure devices, following arterial puncture for endovascular procedures, are frequently used because of their ability to secure reliable haemostasis allowing for early mobilisation and shorter hospital stays. 1-4 The Angio-Seal device (Terumo, Europe NV) is one of the most commonly used devices for closure of the femoral artery and incorporates a collagen plug and footplate to seal the puncture site. 2,4…”

Section: Introductionmentioning

confidence: 99%

A Novel Intervention to Treat Failed Angio-Seal Footplate Deployment: Two Case Series

Hall

Habib

2019

Clin Med Insights Case Rep

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Introduction:Vascular closure devices are commonly used to achieve rapid haemostasis and early ambulation following arterial puncture for endovascular procedures. Although device failure rates are low, the consequences of arterial occlusion include severe limb ischaemia. We describe a novel endovascular technique for the treatment of Angio-Seal arterial closure device (Terumo, Europe NV) failure causing femoral artery occlusion.Materials and methods:We describe 2 cases of lower limb angioplasty performed for critical limb ischaemia where the access site was closed using an Angio-Seal according to the manufacturer instructions for use (IFU). In both cases, however, ultrasound could not be used during deployment of the Angio-Seal due to body habitus and small subcutaneous haematoma. In both cases, the device failed and occluded the femoral artery.Results:Access was achieved via a retrograde approach from the contralateral limb in one case and a retrograde approach from the ipsilateral profunda artery in the other case. Angiography confirmed that the footplate of the Angio-Seal had occluded the femoral artery. Subsequently, the occlusion was crossed and a short balloon-mounted bare metal stent placed to push the footplate against the arterial wall that resulted in resolution of the occlusion and haemorrhage control.Conclusions:Crossing the occlusion caused by failure of the Angio-Seal closure device and subsequent stenting resulted in satisfactory relief of the femoral artery occlusion and haemostasis without the added risks of open surgical revascularisation and general anaesthetic.

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Accelerated ambulation after vascular access closure device

Cited by 8 publications

References 8 publications

Safety and effectiveness of vascular closure devices in interventional radiological procedures

Safety and effectiveness of vascular closure devices in interventional radiological procedures

Digital Subtraction Angiography a Door Opener for Neurosurgical Residents who want to Perform Neurointerventional Procedures

A Novel Intervention to Treat Failed Angio-Seal Footplate Deployment: Two Case Series

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