title: CIRSE vascular closure device registry.
abstract: OBJECTIVE
  Vascular closure devices are routinely used after many vascular interventional radiology procedures. However, there have been no major multicenter studies to assess the safety and effectiveness of the routine use of closure devices in interventional radiology.
  
  
  METHODS
  The CIRSE registry of closure devices with an anchor and a plug started in January 2009 and ended in August 2009. A total of 1,107 patients were included in the registry.
  
  
  RESULTS
  Deployment success was 97.2%. Deployment failure specified to access type was 8.8% [95% confidence interval (95% CI) 5.0-14.5] for antegrade access and 1.8% (95% CI 1.1-2.9) for retrograde access (P = 0.001). There was no difference in deployment failure related to local PVD at the access site. Calcification was a reason for deployment failure in only <0.5% of patients. Postdeployment bleeding occurred in 6.4%, and most these (51.5%) could be managed with light manual compression. During follow-up, other device-related complications were reported in 1.3%: seven false aneurysms, three hematoma >5.9 cm, and two vessel occlusions.
  
  
  CONCLUSIONS
  The conclusion of this registry of closure devices with an anchor and a plug is that the use of this device in interventional radiology procedures is safe, with a low incidence of serious access site complications. There seems to be no difference in complications between antegrade and retrograde access and other parameters.
authors.affiliation: Department of Radiology, Academic Medical Center, Meibergdreef 9, NH 1105 AZ, Amsterdam, The Netherlands. j.a.reekers@amc.uva.nl
authors.forename: Jim A
authors.initials: JA
authors.lastname: Reekers
authors.forename: Stefan
authors.initials: S
authors.lastname: Müller-Hülsbeck
authors.forename: Martin
authors.initials: M
authors.lastname: Libicher
authors.forename: Eli
authors.initials: E
authors.lastname: Atar
authors.forename: Jens
authors.initials: J
authors.lastname: Trentmann
authors.forename: Pierre
authors.initials: P
authors.lastname: Goffette
authors.forename: Jan
authors.initials: J
authors.lastname: Borggrefe
authors.forename: Kamil
authors.initials: K
authors.lastname: Zeleňák
authors.forename: Pieter
authors.initials: P
authors.lastname: Hooijboer
authors.forename: Anna-Maria
authors.initials: AM
authors.lastname: Belli
mesh_terms: D000368:Aged; D016009:Chi-Square Distribution; D004867:Equipment Design; D004869:Equipment Safety; D005060:Europe / Q000453:epidemiology; D005260:Female; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D015641:Radiography, Interventional / Q000295:instrumentation*; D012042:Registries; D012955:Societies, Medical; D013525:Surgical Instruments; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation*