title: Percutaneous Large Arterial Access Closure Techniques.
abstract: Endovascular repair has replaced open surgical repair as the standard of care for treatment of abdominal and thoracic aortic aneurysms in appropriately selected patients owing to its decreased morbidity and length of stay and excellent clinical outcomes. Similarly, there is a progressive trend toward total percutaneous repair of the femoral artery using percutaneous suture-mediated closure devices over open surgical repair due to decreased complications and procedure time. This article describes the techniques of closure for large-bore vascular access most commonly used in endovascular treatment of abdominal and thoracic aortic aneurysms, but could similarly be applied to any procedure requiring large-bore arterial access, such as transcatheter aortic valve replacement.
authors.affiliation: Department of Vascular and Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Hospital, Miami, FL.
authors.forename: Charles J
authors.initials: CJ
authors.lastname: McGraw
authors.affiliation: Department of Vascular and Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Hospital, Miami, FL. Electronic address: gandhi@baptisthealth.net.
authors.forename: Ripal T
authors.initials: RT
authors.lastname: Gandhi
authors.affiliation: Department of Vascular and Interventional Radiology, Kaiser Permanente, Los Angeles, CA.
authors.forename: Geogy
authors.initials: G
authors.lastname: Vatakencherry
authors.affiliation: Department of Vascular and Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Hospital, Miami, FL.
authors.forename: Frederic
authors.initials: F
authors.lastname: Baumann
authors.affiliation: Department of Vascular and Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Hospital, Miami, FL.
authors.forename: James F
authors.initials: JF
authors.lastname: Benenati
mesh_terms: D001158:Arteries / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D065506:Vascular Closure Devices; D058106:Wound Closure Techniques / Q000295:instrumentation*
keywords: endovascular aneurysm repair; percutaneous large vessel closure; percutaneous repair