Vascular Access and Closure for Peripheral Arterial Intervention

Andrew M. Goldsweig, Eric A. Secemsky

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)117-124
Number of pages8
JournalInterventional Cardiology Clinics
Volume9
Issue number2
DOIs
StatePublished - Apr 2020

Keywords

  • Closure device
  • Endovascular
  • Peripheral artery disease
  • Peripheral vascular intervention
  • Vascular access

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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