Related Experiment Video
Updated: Jun 21, 2026
Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
Published on: May 19, 2022
Roadmap guidance for the safer deployment of an arterial closure device
1Department of Radiology, Section of Vascular and Interventional Radiology, Dartmouth-Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756, USA. eric.k.hoffer@hitchcock.org
Insights
Arterial closure devices speed recovery but risk complications. This study introduces roadmap fluoroscopic imaging to monitor device placement, aiming to eliminate closure-related risks during percutaneous arterial catheterization.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
- Medical Imaging
Background:
- Percutaneous arterial catheterization is common but carries risks.
- Arterial closure devices (ACDs) improve patient recovery but can cause occlusive complications.
- Manual compression is an alternative but less efficient.
Purpose of the Study:
- To describe a novel technique using roadmap fluoroscopic imaging to monitor ACD deployment.
- To mitigate the risk of arterial occlusive complications associated with ACDs.
- To enhance the safety of percutaneous arterial procedures.
Main Methods:
- A technique involving a balloon-tipped vessel locator was developed.
- Roadmap fluoroscopic imaging was used to track the locator's movement.
- The final position of the locator at the closure site was confirmed via imaging.
Main Results:
- The described technique allows for precise monitoring of device placement.
- Fluoroscopic imaging provides real-time visualization of the locator's position.
- This method aims to prevent maldeployment and subsequent complications.
Conclusions:
- Roadmap fluoroscopic imaging offers a method to enhance ACD safety.
- This technique represents a step towards eliminating closure-related risks.
- Further studies are warranted to validate the clinical impact of this imaging approach.
Abstract:
Arterial closure devices reduce the time to hemostasis, ambulation, and discharge after percutaneous arterial catheterization, but there is an increased risk of arterial occlusive complications compared with manual compression. As a step toward the elimination of this risk, the authors describe a technique where the movement of a balloon-tipped vessel locator and its final position at the site of closure mechanism deployment are monitored with roadmap fluoroscopic imaging.
