Femoral Arterial Access and Closure

Bangalore, Sripal; Bhatt, Deepak L.

doi:10.1161/circulationaha.111.032235

Cited by 70 publications

(65 citation statements)

References 29 publications

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“…Management of the access site and its complications is part of it [1][2][3][4]. It is in this perspective that we wanted to evaluate the effectiveness and safety of the use of FemoSeal arterial closure system (St. Jude Medical, St. Paul, MN, USA) [5].…”

mentioning

confidence: 99%

FemoSeal Evaluation Registry (FER). Prospective study of femoral arterial closure with a mechanical system on 100 patients who underwent angioplasty procedures

Poli

Leddet

Couppié

et al. 2014

Annales de Cardiologie et d'Angéiologie

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mentioning

confidence: 99%

FemoSeal Evaluation Registry (FER). Prospective study of femoral arterial closure with a mechanical system on 100 patients who underwent angioplasty procedures

Poli

Leddet

Couppié

et al. 2014

Annales de Cardiologie et d'Angéiologie

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“…In addition, the systematic use of femoral angiography to screen for a diseased femoral vessel and avoidance of puncture site-related factors, is well established to lead to optimal positioning of the femoral sheath and reduction in vascular complications associated with VCD. 46,47 It is highly plausible that this may account for some of the differences in baseline characteristics in this study, and that the presence of peripheral vascular disease was not associated with any impact on mortality (interaction P=0.28, Figure 3).…”

Section: Discussionmentioning

confidence: 88%

Relationship Between Femoral Vascular Closure Devices and Short-Term Mortality From 271 845 Percutaneous Coronary Intervention Procedures Performed in the United Kingdom Between 2006 and 2011

Farooq

Goedhart

Ludman

et al. 2016

Circ: Cardiovascular Interventions

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Background-The impact of vascular closure devices (VCDs) via the femoral arterial access site on short-term mortality in patients undergoing percutaneous coronary intervention is currently unknown. 001).A more pronounced association of VCD with a reduction in 30-day mortality was evident in females (HR, 0.85; 95% CI, 0.77-0.94; P interaction =0.037), presentation with acute coronary syndrome (HR, 0.88; 95% CI, 0.83-0.94; P interaction =0.0027), or recent lysis (HR, 0.63; 95% CI, 0.40-1.01; P interaction =0.0001). Conclusions-When compared with manual pressure, VCD was associated with a minor short-term (30-day) prognostic benefit after propensity score correction in the global population and clinically relevant subgroups. The potential for residual confounding factors impacting on short-term mortality cannot be excluded, despite the study having measured and balanced all recorded confounder factors. (Circ Cardiovasc Interv. 2016;9:e003560.

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“…Above the inguinal ligament, the main risk is retroperitoneal hematoma (puncture of the external iliac artery). If the puncture site is too low, there is a risk of hematoma and pseudoaneurysm (superficial or profunda femoral artery), since there is no underlying bony structure from the femoral head during compression [12].…”

Section: Puncture Of the Femoral Arterymentioning

confidence: 99%

“…Although ultrasound-guided Doppler for detection and puncture is increasingly used, there is relatively little information available. Systems where the needles are attached to the Doppler probe (smart-needle) are available; this makes the access easier but does not enable us to change the direction of the needle [12]. A sterile probe sleeve is used for this procedure.…”

Section: Ultrasound-guided Puncturementioning

confidence: 99%

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Post-procedure bleeding in interventional radiology

Mayer

Tacher

Novelli

et al. 2015

Diagnostic and Interventional Imaging

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Following interventional radiology procedures, bleeding can occur in 0.5 to 4% of the cases. Risk factors are related to the patient, to the procedure, and to the end organ. Bleeding is treated usually by interventional radiologists and consists mainly of embolization. Bleeding complications are preventable: before the procedure by checking hemostasis, during the procedure by ensuring the accurate puncture site (with ultrasound or fluoroscopy guidance) or by treating the puncture path using gelatin sponge, curaspon(®), biological glue or thermocoagulation, and after the procedure by carefully monitoring the patients.

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Femoral Arterial Access and Closure

Cited by 70 publications

References 29 publications

FemoSeal Evaluation Registry (FER). Prospective study of femoral arterial closure with a mechanical system on 100 patients who underwent angioplasty procedures

FemoSeal Evaluation Registry (FER). Prospective study of femoral arterial closure with a mechanical system on 100 patients who underwent angioplasty procedures

Relationship Between Femoral Vascular Closure Devices and Short-Term Mortality From 271 845 Percutaneous Coronary Intervention Procedures Performed in the United Kingdom Between 2006 and 2011

Post-procedure bleeding in interventional radiology

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