title: Haemostasis with the FISH Vascular Closure Device after 6 French Transfemoral Accesses in Interventional Radiology: Clinical Results.
abstract: BACKGROUND
  Endovascular procedures have increased for different indications over the recent years. To achieve a safe haemostasis after arterial puncture and for more comfort for the patients different vascular closure devices have been developed.
  
  
  OBJECTIVE
  To evaluate the effectiveness and safety of a percutaneous closure system based on a matrix patch for achieving haemostasis.
  
  
  METHODS
  In this study from 2014 to 2015 a percutaneous vascular closure system Femoral Introducer Sheath and Haemostasis (FISH) was used in 54 patients (mean age 69.0±10.7 years), in an antegrade and retrograde technique within the context of an angiographic intervention. The system was used in conjunction with transfemoral approaches with a sheath size of 6F. Postinterventionally (on the following day and after 6 weeks), follow-up was conducted clinically and using colour coded ultrasound.
  
  
  RESULTS
  Immediate haemostasis was achieved in 50/54 patients (92.6 %). In 4 cases, an immediate haemostasis was not achieved. In these cases, manual compression was successful. There was one major complication, a retroperitoneal bleeding requiring transfusion. Minor complications were not observed.
  
  
  CONCLUSIONS
  Safe and effective haemostasis is possible with the percutaneous FISH closure system at puncture sizes of 6 F. An immediate re-puncture after using FISH is possible.
authors.affiliation: Dr. med. Institute of Diagnostic and Interventional Radiology/ Neuroradiology Westküstenklinikum Heide - Academic Teaching Hospital of the Universities of Kiel , Lübeck and Hamburg, Heide, Germany .
authors.forename: Peter C
authors.initials: PC
authors.lastname: Kamusella
authors.affiliation: Dr. med. Institute of Diagnostic and Interventional Radiology/ Neuroradiology Westküstenklinikum Heide - Academic Teaching Hospital of the Universities of Kiel , Lübeck and Hamburg, Heide, Germany .
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Lüdtke
authors.affiliation: Dr. med. Institute of Diagnostic and Interventional Radiology/ Neuroradiology Westküstenklinikum Heide - Academic Teaching Hospital of the Universities of Kiel , Lübeck and Hamburg, Heide, Germany .
authors.forename: Fabian
authors.initials: F
authors.lastname: Scheer
authors.affiliation: Professor, Institute of Diagnostic and Interventional Radiology/ Neuroradiology Westküstenklinikum Heide - Academic Teaching Hospital of the Universities of Kiel , Lübeck and Hamburg, Heide, Germany .
authors.forename: Reimer
authors.initials: R
authors.lastname: Andresen
authors.affiliation: PD Dr. med. Institute of Diagnostic and Interventional Radiology/ Neuroradiology Westküstenklinikum Heide - Academic Teaching Hospital of the Universities of Kiel , Lübeck and Hamburg, Heide, Germany .
authors.forename: Christian
authors.initials: C
authors.lastname: Wissgott
keywords: Angiography; Antegrade; Closure device; Retrograde