Femoral Vascular Access - Approaches and Available Devices

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Citation
ICR - Volume 7 Issue 2 - Autumn 2012;2012:7(2):108-114
DOI
http://dx.doi.org/10.15420/icr.2012.7.2.108

Abstract

Femoral access remains a vital route for many cardiac and non-cardiac procedures, including those involving the use of large delivery systems. In the common femoral artery access is extremely important to minimise complications and optimise use of closure devices. Dissatisfaction with haemostasis achieved by manual compression stimulated development of VCDs that provide quick and effective haemostasis after sheath removal. Despite shortening time to haemostasis and ambulation, a debate still rages regarding their overall contribution to reducing complications and healthcare costs.

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References
  1. Seldinger SI, Catheter replacement of the needle in percutaneous arteriography: A new technique, Acta Radiol , 1953;39:368–76.
    Crossref | PubMed
  2. Sones FM, Shirey EK, Cine coronary arteriography, Mod Concepts Cardiovasc Dis , 1962;31:735–8.
    PubMed
  3. Oldroyd KG, Phadke KV, Phillips R, et al., Cardiac catheterization by the Judkins technique as an outpatient procedure, BMJ , 1989;298:875–6.
    Crossref | PubMed
  4. Hall MJ, DeFrances CJ, Williams SN, et al., for the US Department of Health and Human Services, National Hospital Discharge Survey: 2007 Summary, National Health Statistics Report 29, Hyattsville, MD: US Department of Health and Human Services, 2010.
  5. Ellis SG, Bhatt D, Kapadia S, et al., Correlates and outcomes of retroperitoneal hemorrhage complicating percutaneous coronary intervention, Catheter Cardiovasc Interv , 2006;67:541–5.
    Crossref | PubMed
  6. Turi ZG, Optimizing vascular access: Routine femoral angiography keeps the vascular complication away, Catheter Cardiovasc Interv , 2005;65:203–4.
    Crossref | PubMed
  7. Abu-Fadel MS, Sparling JM, Zacharias SJ, et al., Fluoroscopy vs. traditional guided femoral arterial access and the use of closure devices: A randomized controlled trial, Catheter Cardiovasc Interv , 2009;74:533–9.
    Crossref | PubMed
  8. Huggins CE, Gillespie MJ, Tan WA, et al., A prospective randomized clinical trail of the use of fluoroscopy in obtaining femoral arterial access, J Invasive Cardiol , 2009;21:105–9.
    PubMed
  9. Jacobi JA, Schussler JM, Johnson KB, Routine femoral head fluoroscopy to reduce complications in coronary catheterization, Proc (Bayl Univ Med Cent) , 2009;22:7–8.
    PubMed
  10. Seto AH, Abu-Fadel MS, Sparling JM, et al., Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: FAUST (Femoral Arterial Access With Ultrasound Trial), JACC Cardiovasc Interv , 2010;3:751–8.
    Crossref | PubMed
  11. Sherev DA, Shaw RE, Brent BN, Angiographic predictors of femoral access site complications: Implication for planned percutaneous coronary intervention, Catheter Cardiovasc Interv , 2005;65:196–202.
    Crossref | PubMed
  12. Farouque HMO, Tremmel JA, Shabari FR, et al., Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices, J Am Coll Cardiol , 2005;45:363–8.
    Crossref | PubMed
  13. Tiroch KA, Arora N, Matheny ME, et al., Risk predictors of retroperitoneal hemorrhage following percutaneous coronary intervention, Am J Cardiol , 2008;102:1473–6.
    Crossref | PubMed
  14. Piper WD, Malenka DJ, Ryan TJ Jr, et al., Predicting vascular complications in percutaneous coronary interventions, Am Heart J , 2003;145:1022–9.
    Crossref | PubMed
  15. Applegate RJ, Sacrinty MT, Kutcher MA, et al., Trends in vascular complications after diagnostic cardiac catheterization and percutaneous coronary intervention via the femoral artery, 1998 to 2007, JACC Cardiovasc Interv , 2008;1:317–26.
    Crossref | PubMed
  16. Marso SP, Amin AP, House JA, et al., Association between use of bleeding avoidance strategies and risk of periprocedural bleeding among patients undergoing percutaneous coronary intervention, JAMA , 2010;303:2156–64.
    Crossref | PubMed
  17. 2011 Buyer's Guide: The sizes, specifications, and unique characteristics of today's peripheral interventional devices, Endovascular Today , 2010;9.
  18. Ward SR, Casale P, Raymond R, et al., Efficacy and safety of a hemostatic puncture closure device with early ambulation after coronary angiography, Am J Cardiol , 1998;81:569–72.
    Crossref | PubMed
  19. Applegate RJ, Turi ZG, Sachdev N, et al., The Angio-Seal Evolution registry: Outcomes of a novel automated Angio-Seal vascular closure device, J Invasive Cardiol , 2010;22:420–6.
    PubMed
  20. Carere RG, Webb JG, Ahmed T, Dodek AA, Initial experience using Prostar: A new device for percutaneous suture-mediated closure of arterial puncture sites, Cathet Cardiovasc Diagn , 1996;37:367–72.
    Crossref | PubMed
  21. Lee WA, Brown MP, Nelson PR, et al., Midterm outcomes of femoral arteries after percutaneous endovascular aortic repair using the Preclose technique, J Vasc Surg , 2008;47:919–23.
    Crossref | PubMed
  22. Applegate RJ, Grabarczyk MA, Little WC, et al., Vascular closure devices in patients treated with anticoagulation and IIb/IIIa receptor inhibitors during percutaneous revascularization, J Am Coll Cardiol , 2002;40:78–83.
    Crossref | PubMed
  23. Badawi RA, Collins TJ, Ramee SR, A simple percutaneous technique for hemostasis and closure after transcatheter aortic valve implantation, Catheter Cardiovasc Interv , 2011;79:152–5.
    Crossref | PubMed
  24. Hermiller JB, Simonton C, Hinohara T, et al., The StarClose vascular closure system: Interventional results from the CLIP study, Catheter Cardiovasc Interv , 2006;68:677–83.
    Crossref | PubMed
  25. Scheinert D, Sievert H, Turco MA, et al., The safety and efficacy of an extravascular, water-soluble sealant for vascular closure: Initial clinical results for Mynx, Catheter Cardiovasc Interv , 2007;70:627–33.
    Crossref | PubMed
  26. Wong SC, Bachinsky W, Cambier P, et al., A randomized comparison of a novel bioabsorbable vascular closure device versus manual compression in the achievement of hemostasis after percutaneous femoral procedures: The ECLIPSE (Ensure Vascular Closure Device Speeds Hemostasis Trial), JACC Cardiovasc Interv , 2009;2:785–93.
    Crossref | PubMed
  27. Bavry AA, Raymond RE, Bhatt DL, et al., Efficacy of a novel procedure sheath and closure device during diagnostic catheterization: The multicenter randomized clinical trial of the FISH device, J Invasive Cardiol , 2008;20:152–6.
    PubMed
  28. Bos JJ, Hunink MG, Mali WP, Use of a collagen hemostatic closure device to achieve hemostasis after arterial puncture: A cost-effectiveness analysis, J Vasc Interv Radiol , 1996;7:479–86.
    Crossref | PubMed
  29. Rickli H, Unterweger M, Sütsch G, et al., Comparison of costs and safety of a suture-mediated closure device with conventional manual compression after coronary artery interventions, Catheter Cardiovasc Interv , 2002;57:297–302.
    Crossref | PubMed
  30. Resnic FS, Arora N, Matheny M, Reynolds MR, A cost-minimization analysis of the angio-seal vascular closure device following percutaneous coronary intervention, Am J Cardiol , 2007;99:766–70.
    Crossref | PubMed
  31. Koreny M, Riedmüller E, Nikfardjam M, et al., Arterial puncture closing devices compared with standard manual compression after cardiac catheterization: Systematic review and meta-analysis, JAMA , 2004;291:350–7.
    Crossref | PubMed
  32. Dauerman HL, Rao SV, Resnic FS, Applegate RJ, Bleeding avoidance strategies consensus and controversy, J Am Coll Cardiol , 2011;58:1–10.
    Crossref | PubMed
  33. Rao SV, Ou FS, Wang TY, et al., Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: A report from the National Cardiovascular Data Registry, JACC Cardiovasc Interv , 2008;1:379–86.
    Crossref | PubMed
  34. Applegate RJ, Sacrinty MT, Little WC, et al., Prognostic implications of vascular complications following PCI, Catheter Cardiovasc Interv , 2009;74:64–73.
    Crossref | PubMed
  35. Nikolsky E, Mehran R, Halkin A, et al., Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures: A meta-analysis, J Am Coll Cardiol , 2004;44:1200–9.
    Crossref | PubMed
  36. Tavris DR, Gallauresi BA, Lin B, et al., Risk of local adverse events following cardiac catheterization by hemostasis device use and gender, J Invasive Cardiol , 2004;16:459–64.
    PubMed
  37. Vaitkus PT, A meta-analysis of percutaneous vascular closure devices after diagnostic catheterization and percutaneous coronary intervention, J Invasive Cardiol , 2004;16:243–6.
    PubMed