TY - JOUR
T1 - Vascular Access and Closure for Peripheral Arterial Intervention
AU - Goldsweig, Andrew M.
AU - Secemsky, Eric A.
N1 - Funding Information:
A.M. Goldsweig reports that he has no conflicts of interest to disclose. E.A. Secemsky has served as a consultant for Medtronic, Cook Medical, Philips, CSI and has received grants to institution from Medtronic, Cook Medical, CSI, AstraZeneca, BD Bard.
PY - 2020/4
Y1 - 2020/4
N2 - Peripheral arterial interventions require safe and effective vascular access and closure. The sites, techniques, and equipment used may vary depending on patient and procedural factors. To minimize the risk of procedural complications, arterial access should use micropuncture technique, ultrasound and fluoroscopic guidance, a compressible arterial access site, and the smallest diameter sheath necessary. Hemostasis at an arteriotomy site may be achieved by manual compression, device-mediated compression, an intravascular closure device, or an extravascular closure device. Although closure devices improve patient comfort and expedite hemostasis, they have not been shown to reduce complications in comparison with compression.
AB - Peripheral arterial interventions require safe and effective vascular access and closure. The sites, techniques, and equipment used may vary depending on patient and procedural factors. To minimize the risk of procedural complications, arterial access should use micropuncture technique, ultrasound and fluoroscopic guidance, a compressible arterial access site, and the smallest diameter sheath necessary. Hemostasis at an arteriotomy site may be achieved by manual compression, device-mediated compression, an intravascular closure device, or an extravascular closure device. Although closure devices improve patient comfort and expedite hemostasis, they have not been shown to reduce complications in comparison with compression.
KW - Closure device
KW - Endovascular
KW - Peripheral artery disease
KW - Peripheral vascular intervention
KW - Vascular access
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U2 - 10.1016/j.iccl.2019.11.001
DO - 10.1016/j.iccl.2019.11.001
M3 - Review article
C2 - 32147114
AN - SCOPUS:85078783247
VL - 9
SP - 117
EP - 124
JO - Interventional Cardiology Clinics
JF - Interventional Cardiology Clinics
SN - 2211-7458
IS - 2
ER -