title: Technique of delayed endovascular hemostatic closure for large bore vascular access site: A case series.
abstract: Large bore vascular access is becoming increasingly common for a range of interventional cardiovascular procedures. In the vast majority, percutaneous closure is preplanned and successfully achieved. However, for patients with percutaneous closure failure, or those requiring prolonged hemodynamic support, alternatives to percutaneous closure are required. Currently there are no approved vascular closure devices for delayed removal of large bore sheaths and therefore, manual hemostasis or surgical closure remains the only options. In this case series we present an endovascular approach to achieve delayed large bore vascular hemostasis, using either the contralateral femoral arterial access or radial arterial access.
authors.affiliation: Division of Cardiovascular Medicine, Sulpizio Cardiovascular Center, University of California San Diego, USA.
authors.forename: Ali
authors.initials: A
authors.lastname: Pourdjabbar
authors.affiliation: Division of Cardiovascular Medicine, Sulpizio Cardiovascular Center, University of California San Diego, USA.
authors.forename: Ryan R
authors.initials: RR
authors.lastname: Reeves
authors.affiliation: Division of Cardiovascular Medicine, Sulpizio Cardiovascular Center, University of California San Diego, USA.
authors.forename: Ehtisham
authors.initials: E
authors.lastname: Mahmud
authors.affiliation: Division of Cardiovascular Medicine, Sulpizio Cardiovascular Center, University of California San Diego, USA.
authors.forename: Lawrence
authors.initials: L
authors.lastname: Ang
authors.affiliation: Division of Cardiovascular Medicine, Sulpizio Cardiovascular Center, University of California San Diego, USA. Electronic address: mpatel@ucsd.edu.
authors.forename: Mitul P
authors.initials: MP
authors.lastname: Patel
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D021721:Balloon Occlusion; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D062906:Cardiac Catheters; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D011677:Punctures; D017534:Radial Artery / Q000000981:diagnostic imaging; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Endovascular; Hemostasis; Impella; Percutaneous ventricular assist devices