Vascular closure devices for femoral arterial puncture site haemostasis

Abstract

This is a repository copy of Vascular closure devices for femoral arterial puncture site haemostasis.

Acute arterial occlusion due to vascular closure device: A report of two cases

“…[1,2,5,6] Though recent meta-analyses have failed to demonstrate the clear superiority of VCDs to MC, their use in clinical practice is widely accepted, despite an increase in device-related complications. [4,5,7] MC requires an educated medical staff, manpower, prolonged bed rest, and long-time pressure on the puncture area. [1][2][3]7] To overcome these disadvantages of compression, an alternative was found: closure devices.…”

“…VCDs offer many advantages, such as immediate hemostasis, successful use in patients who are highly anticoagulated, and early ambulation and hospital discharge. [1,4] On the other hand, these devices may lead to some complications, including hematoma, acute limb ischemia, and infection, which occur in up to 2.5% of patients. [5,8] Nikolsky et al [5] described in a meta-analysis that the risk of major or minor vascular complications was similar to that of MC.…”

“…[3] VCDs have many advantages, such as immediate hemostasis, and early ambulation and hospital discharge. [1,4] However, in terms of minor or major vascular complications, it is still controversial as to whether VCDs are more efficient than manual compression (MC). [4,5] VCD-related complications have been reported, including access site infection and acute arterial occlusion that may require extra-surgical intervention.…”

“…[1,4] However, in terms of minor or major vascular complications, it is still controversial as to whether VCDs are more efficient than manual compression (MC). [4,5] VCD-related complications have been reported, including access site infection and acute arterial occlusion that may require extra-surgical intervention. [2,3] Herein, 2 cases of limb-threatening ischemic complications following the use of Angio-Seal vascular closure device are reported.…”

Vascular complications after percutaneous mitral valve repair and venous access closure using suture or closure device

“…For arterial access procedures requiring sheath sizes up to 24 Fr. suture‐mediated arteriotomy closure systems allow faster hemostasis and have emerged as the preferred tool for access site closure . To date, these closure devices have not been certified for venous access, although they are used off‐label in this indication .…”