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Percutaneous arterial closure devices.

Eric K Hoffer1, Robert D Bloch

  • 1Section of Vascular and Interventional Radiology, Department of Radiology, Harborview Medical Center, University of Washington, Box 359728, 325 9th Avenue, Seattle, Washington 98104, USA. rhoffer@u.washington.edu

Journal of Vascular and Interventional Radiology : JVIR
|July 9, 2003
PubMed
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Percutaneous arterial closure devices offer rapid hemostasis but may increase complication rates compared to manual compression. No single device demonstrated superiority in diagnostic or therapeutic arterial recanalization procedures.

Area of Science:

  • Cardiovascular Interventions
  • Vascular Surgery

Background:

  • Interventional angiography advancements necessitate efficient arterial closure methods.
  • Traditional manual compression prolongs procedures and increases patient discomfort.

Purpose of the Study:

  • To evaluate the efficacy and complication rates of percutaneous arterial closure devices.
  • To compare device-mediated closure with manual compression in diagnostic and therapeutic angiography.

Main Methods:

  • Web search for approved/pending arterial closure devices.
  • Medline search for device studies comparing efficacy and complications.
  • Review of studies comparing devices against manual compression and each other.

Main Results:

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  • Arterial closure devices achieved hemostasis comparable to manual compression in diagnostic procedures.
  • Device use was associated with higher complication rates in the diagnostic population.
  • In therapeutic procedures, devices were as effective as manual compression with similar complication rates.
  • No specific device was found to be superior to others.

    • Conclusions:

    • Percutaneous arterial closure devices provide rapid hemostasis but may have higher complication rates than manual compression.
    • Devices are effective in therapeutic settings, with complication rates similar to manual compression.
    • Current evidence does not support the superiority of any single arterial closure device.