Vascular Closure: the ABC’s

Bhogal, Sukhdeep; Waksman, Ron

doi:10.1007/s11886-022-01654-z

Cited by 10 publications

(7 citation statements)

References 47 publications

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“…The exponential growth of endovascular procedures created the need for an alternative or additional method for managing postprocedural access sites besides manual compression. In 1995 Vasoseal (St Jude Medical, St. Paul, MN) was the first FDA-approved vascular closure device and over the past 25 years, several other devices have become commercially available [19]. Overall, these devices can be divided into three categories.…”

Section: Discussionmentioning

confidence: 99%

“…The active ones physically close the arteriotomy with sutures or clips, the passive ones deploy a plug of some kind on the arteriotomy site, and one last category promotes coagulation externally via patches or pads with clotting factors [19]. Overall, their use is shortening the time to hemostasis, patient ambulation, and discharge while according to Boghal et al, their complication rate is non-inferior to manual compression [19]. Despite their extensive utilization, their IFUs still include only the common femoral artery.…”

Section: Discussionmentioning

confidence: 99%

“…Despite their extensive utilization, their IFUs still include only the common femoral artery. However, there have been numerous publications on the successful use of closure devices in many off-label locations such as superficial and profunda femoral artery, brachial, subclavian, and carotid artery following percutaneous endovascular procedures [19]. Furthermore, in a recent systematic review of the management all inadvertent arterial placement of CVCs, the authors suggest the use of percutaneous closure devices as the first line approach in case femoral, subclavian, brachial, and carotid artery is involved [20].…”

Section: Discussionmentioning

confidence: 99%

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Use of a Closure Device for the Management of Inadvertent Placement of a Central Venous Catheter in the Carotid Artery: A Case Report and Literature Review

Giagtzidis¹,

Soteriou²,

Papadimitriou³

et al. 2023

Cureus

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The placement of a central venous catheter (CVC) is a common intervention in hospitalized patients. Several adverse events have been reported in this "blind" procedure when it is performed without the aid of ultrasound, including artery catheterization, which although uncommon, is a serious complication. Potential treatment options include manual compression, open surgical repair, and endovascular treatment. A 62year-old critically ill patient with accidental arterial catheterization of the right common carotid artery (CCA) during placement of CVC is presented. The catheter was removed successfully with the use of a Perclose-ProGlide closure device. A systematic literature review was performed to identify similar cases treated with the same technique. This case presents an alternative minimally invasive treatment option, using a Perclose Proglide (Abbott) closure device for the removal of a misplaced CVC in the right CCA. Although this is an off-label use of the device it can be an effective alternative treatment option, especially in unstable patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Use of a Closure Device for the Management of Inadvertent Placement of a Central Venous Catheter in the Carotid Artery: A Case Report and Literature Review

Giagtzidis¹,

Soteriou²,

Papadimitriou³

et al. 2023

Cureus

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“…The ClampEase C750 device model California is a vascular closure device consisting of a flat metal base with a C-shaped arm clamp attached to a transparent pressure plate. 6 When the arterial sheath is removed, the C-shaped arm clamp is lowered so that the transparent base compresses the catheter insertion site. Compression devices are technically efficacious.…”

Section: Introductionmentioning

confidence: 99%

“…pressure plate. 6 When the arterial sheath is removed, the C-shaped arm clamp is lowered so that the transparent base compresses the catheter insertion site. Compression devices are technically efficacious.…”

mentioning

confidence: 99%

Comparison of Vascular Complications after Arterial Sheath Removal using Manual Compression Method and ClampEase Method in Patients Undergoing Coronary Angiography

Kazemi Darafshani,

Hosseini,

Babaei

et al. 2023

J Caring Sci

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Introduction: Angiography stands as the paramount and definitive diagnostic method for coronary artery disease. However, akin to various other invasive procedures, it may carry a multitude of complications. This study sought to assess the incidence of vascular complications post-arterial sheath removal, comparing the use of a ClampEase device against manual compression. Methods: This quasi-experimental clinical trial involved patients undergoing angiography at the post-angiography ward in Isfahan, Iran. A total of 91 patients were selected through convenience sampling and randomly assigned to either the manual compression or ClampEase device groups. Monitoring common vascular complications like hemorrhage, hematomas, and ecchymosis occurred up to 24 hours post-arterial sheath removal. Data were collected using a digital scale model DM3, a transparent flexible ruler, and a questionnaire named ‘vascular complications after angiography.’ Analysis was performed using SPSS software version 13. Results: Statistical analysis revealed that, when compared to the manual method, compression with the ClampEase device led to fewer vascular complications in patients and a quicker return to homeostasis. Conclusion: The findings underscore that the ClampEase method is a safer alternative with fewer vascular complications than the manual compression method. This discovery has implications for reducing hospital costs and length of stay. The ClampEase device is associated with a swifter time to hemostasis, contributing to enhanced patient comfort and acceptance.

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Percutaneous endovascular management of Angio‐Seal related vascular occlusion

Haberman,

Czulada,

Lupu

et al. 2024

Cathet Cardio Intervent

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BackgroundThe use of vascular closure devices (VCDs) to achieve quick and safe hemostasis after femoral arterial access is widely accepted. Major complications include bleeding and occlusion of the femoral artery due to device failure, which often necessitates vascular intervention. This manuscript details our peripheral percutaneous endovascular interventional (PEI) approach for the management of femoral artery occlusion resulting from Angio‐Seal (Terumo, Somerset, New Jersey, USA) VCD deployment.MethodsConsecutive patients who developed occlusive complications after Angio‐Seal deployment underwent PEI to overcome specific complications. Patients’ clinical and procedural characteristics, along with their short‐ and long‐term follow‐up data, were analyzed.ResultsThe study cohort included 40 patients who experienced Angio‐Seal occlusive complications between July 2013 and September 2023. The mean age of the patients was 74 ± 10 years and 55% were female. All the patients were treated with PEI, with an overall procedural success rate of 100%. The primary approach for PEI was directional atherectomy, which was used in 35 cases (88%), followed by balloon, while a cutting balloon was used in 5 patients (13%). Stenting served as the definitive therapy in only 7 patients (18%). No procedural complications or conversions to surgery were observed. During a median follow‐up of 244 (IQR = 100–707) days, none of the patients required re‐intervention related to Angio‐Seal occlusion and salvage intervention.ConclusionIn the management of Angi‐Seal VCD‐related femoral artery occlusion, the adjunctive use of directional atherectomy followed by balloon angioplasty was effective and safe, allowing re‐establishment of flow with excellent long‐term outcomes.

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Vascular Closure: the ABC’s

Cited by 10 publications

References 47 publications

Use of a Closure Device for the Management of Inadvertent Placement of a Central Venous Catheter in the Carotid Artery: A Case Report and Literature Review

Use of a Closure Device for the Management of Inadvertent Placement of a Central Venous Catheter in the Carotid Artery: A Case Report and Literature Review

Comparison of Vascular Complications after Arterial Sheath Removal using Manual Compression Method and ClampEase Method in Patients Undergoing Coronary Angiography

Percutaneous endovascular management of Angio‐Seal related vascular occlusion

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