Randomised comparison of manual compression and FemoSealª vascular closure device for closure after femoral artery access coronary angiography: the CLOSure dEvices Used in everyday Practice (CLOSE-UP) study

2014 ◽  
Vol 10 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Niels R. Holm ◽  
Birthe Sindberg ◽  
Mia Schou ◽  
Michael Maeng ◽  
Anne Kaltoft ◽  
...  
Vascular ◽  
2008 ◽  
Vol 16 (5) ◽  
pp. 295-296
Author(s):  
Alfried Germing ◽  
Michael Lindstaedt ◽  
Delawer Reber

This case report describes the surgical findings of a percutaneous closure device, which was used after diagnostic coronary angiography. The features of the device are described. Surgeons should be familiar with the existence of these devices to avoid complications during vascular access procedures at the level of the common femoral artery.


Author(s):  
Sreekumar Madassery

This chapter pertains to femoral artery access. Attaining an “ideal” access is essential for maximizing the chances of maintaining effective hemostasis. Deciding whether to perform arterial access closure using the gold standard of manual compression versus a vascular closure device (VCD) requires the operator to evaluate many characteristics of the patient. The location of the arteriotomy, vessel size, degree of calcification, use of anticoagulants, and sheath size during the procedure are the primary factors that need to be considered. The ISAR-CLOSURE study reported that use of VCDs was not inferior to manual compression. This chapter discusses applications and potential complications of VCDs.


1995 ◽  
Vol 2 (3) ◽  
pp. 289-296 ◽  
Author(s):  
Michel Henry ◽  
Max Amor ◽  
Mohamed Allaoui ◽  
Olivier Tricoche

Purpose: Given the increasing number of percutaneously applied endovascular therapies, the incidence of access-related vascular complications can be expected to rise, particularly in association with those techniques requiring large sheaths or anticoagulation. The need exists for a safe, easy to use, and effective hemostatic technique to replace the labor-intensive method of manual compression. Methods: A bioabsorbable, sheath-delivered vascular closure device (Angio-Seal™) has been developed that deposits a small collagen plug within the arterial wall to mechanically seal the puncture defect. An anchor connected by suture to the plug is first deployed in the arterial lumen and pulled flush against the interior arterial wall to guard against intraluminal deposition of the collagen. Results: The Angio-Seal device was deployed successfully in 80 (96%) of 83 attempts involving common femoral arteries accessed for peripheral angioplasty (n = 30), coronary angiography (n = 30), and coronary angioplasty (n = 16). Three popliteal artery access sites and one femoropopliteal bypass graft were also treated. Hemostasis was immediate in 78 cases (98%); 2 sites required a 5-minute manual compression to effect a secure seal. Three devices failed to deploy, and manual pressure was used to close the puncture. Nondeployment did not cause any sequelae, and no complications were encountered with the technique. Conclusions: This novel vascular closure device is quick (< 1 minute application time) and simple to use, providing a positive seal of common femoral artery puncture sites for both peripheral and coronary interventions. It appears to be a reliable alternative to standard manual hemostasis.


2012 ◽  
Vol 19 (6) ◽  
pp. 836-843 ◽  
Author(s):  
Daniel Maxien ◽  
Barbara Behrends ◽  
Karla M. Eberhardt ◽  
Tobias Saam ◽  
Sven F. Thieme ◽  
...  

2020 ◽  
Vol 15 (11) ◽  
pp. 2205-2207
Author(s):  
Wouter Stomp ◽  
Daniël Eefting ◽  
Jan van Schaik ◽  
Davy R. Sudiono ◽  
Rutger W. van der Meer

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