StarClose Vascular Closure Device: Safety and Efficacy of Deployment and Reaccess in a Neurointerventional Radiology Service

Abstract

BACKGROUND AND PURPOSE:Obtaining safe and effective closure of the femoral access site following neurointerventional procedures can sometimes be challenging, especially in patients on anticoagulation or anti-platelet therapy. The purpose of this study was to evaluate the safety and efficacy of a novel percutaneous closure device that employs a nitinol clip-mediated extravascular closure strategy following neurointerventional procedures.

Safety and Efficacy of the StarClose Vascular Closure Device in More Than 1000 Consecutive Peripheral Angioplasty Procedures

“…Actually, the main benefits of suture-and clip-based VCDs include not only instantaneous vessel closure, but also the ability of immediate repuncture in case of a complication. 3,17 Despite extensive analysis of follow-up angiograms, no signs of localized vessel occlusion, stenosis, or dissection were identified apart from a single case of severe proximal SFA stenosis, which was attributed to mistaken SFA puncture due to the very high femoral bifurcation (above the middle part of the femoral head). The small diameter of the SFA probably contributed to injury of the vessel wall as the anchor of the device was pulled back.…”

Entrapment of an arterial pressure catheter by a previously deployed starclose device

“…To obtain a secure closure of the opening in the femoral artery following diagnostic interventional catheterization procedures, the Starclose device's clinical safety and efficacy remain controversial when compared with positional manual compression [1][2][3].…”

Safety and Feasibility of a Novel Vascular Closure Device in Neurointerventional Procedures

“…Femoral access closure devices have been reported to reduce time to ambulation, increase patient comfort, and accelerate time to discharge compared with manual compression [1][2][3][4] . a percutaneous collagen femoral closure device has been shown to reduce the puncture site hemostasis time and time to ambulation without significantly increasing peripheral vascular complications 5 .…”