A novel double clip-based vascular closure device in antegrade and retrograde femoral punctures: A single-center experience in peripheral non-cardiac procedures.
Catheterization, Peripheral
/ adverse effects
Femoral Artery
/ diagnostic imaging
Hemostatic Techniques
/ adverse effects
Humans
Peripheral Arterial Disease
/ diagnostic imaging
Phlebotomy
Punctures
Retrospective Studies
Safety
Surgical Instruments
Treatment Outcome
Ultrasonography, Doppler, Duplex
Vascular Closure Devices
/ standards
Celt ACD®
Vascular closure devices
access site complications
antegrade puncture
femoral access
retrograde puncture
undersizing
Journal
The journal of vascular access
ISSN: 1724-6032
Titre abrégé: J Vasc Access
Pays: United States
ID NLM: 100940729
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
pubmed:
29
4
2021
medline:
14
9
2022
entrez:
28
4
2021
Statut:
ppublish
Résumé
This retrospective study investigates the efficacy and safety of the novel Celt ACD A total of 208 VCDs (i.e. 100 antegrade and 108 retrograde) were deployed between October 2019 and December 2020 in a tertiary referral interventional radiology department. Fifty-two devices were undersized in relation to the introducer sheath (up to 2 Fr). Technical success and VCD related complications were evaluated in the immediate post procedure period and the following 24 h clinically. In 68% of cases, additional duplex ultrasound was performed prior to discharge. The overall technical success rate was 97%. Technical failures following antegrade approach were due to a too acute access angle (⩾60°), rendering it impossible to pass the applicator tip through the sheath lumen. A subgroup analysis of technical success pinpoints severe calcification as another key limiting factor in VCD use ( The novel clip-based VCD proved to be effective with a low VCD related complication rate.
Sections du résumé
BACKGROUND
UNASSIGNED
This retrospective study investigates the efficacy and safety of the novel Celt ACD
METHODS
UNASSIGNED
A total of 208 VCDs (i.e. 100 antegrade and 108 retrograde) were deployed between October 2019 and December 2020 in a tertiary referral interventional radiology department. Fifty-two devices were undersized in relation to the introducer sheath (up to 2 Fr). Technical success and VCD related complications were evaluated in the immediate post procedure period and the following 24 h clinically. In 68% of cases, additional duplex ultrasound was performed prior to discharge.
RESULTS
UNASSIGNED
The overall technical success rate was 97%. Technical failures following antegrade approach were due to a too acute access angle (⩾60°), rendering it impossible to pass the applicator tip through the sheath lumen. A subgroup analysis of technical success pinpoints severe calcification as another key limiting factor in VCD use (
CONCLUSIONS
UNASSIGNED
The novel clip-based VCD proved to be effective with a low VCD related complication rate.
Identifiants
pubmed: 33908308
doi: 10.1177/11297298211012829
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM