title: Venous Access Site Closures Using the VASCADE Vascular Closure System.
abstract: This single-center, retrospective study describes using the VASCADE Vascular Closure System (Cardiva Medical, Inc, Santa Clara, California) to close 32 venous access sites in 21 consecutive patients (11 females; 10 males; age 45 y ± 19) after catheter-directed interventions. Sheath sizes were 5-10 F (8.7 F ± 1.7). Hemostasis was achieved in 30 of 32 deployments (93.8%). Complications were observed after 6 of 32 procedures, including 5 minor events in 4 patients and 1 major event in 1 patient which was likely unrelated to device deployment. The VASCADE device efficaciously closes venotomies after deep venous procedures, but further studies comparing it with manual compression are required to define its optimal use.
authors.affiliation: Division of Interventional Radiology, Department of Radiology, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, New York.
authors.forename: Eda
authors.initials: E
authors.lastname: Dou
authors.affiliation: Division of Interventional Radiology, Department of Radiology, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, New York.
authors.forename: Ronald Scott
authors.initials: RS
authors.lastname: Winokur
authors.affiliation: Division of Interventional Radiology, Department of Radiology, New York University Langone School of Medicine, 560 1st Avenue, New York, NY 10016. Electronic address: Akhilesh.Sista@nyumc.org.
authors.forename: Akhilesh Keshav
authors.initials: AK
authors.lastname: Sista
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002404:Catheterization / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D005260:Female; D006470:Hemorrhage / Q000097:blood / Q000209:etiology / Q000517:prevention & control*; D006487:Hemostasis; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City; D011677:Punctures; D012189:Retrospective Studies; D016896:Treatment Outcome; D065506:Vascular Closure Devices; D014680:Veins / Q000000981:diagnostic imaging; D055815:Young Adult