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Updated: Jun 7, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

CIRSE vascular closure device registry.

Jim A Reekers1, Stefan Müller-Hülsbeck, Martin Libicher

  • 1Department of Radiology, Academic Medical Center, Meibergdreef 9, NH 1105 AZ, Amsterdam, The Netherlands. j.a.reekers@amc.uva.nl

Cardiovascular and Interventional Radiology
|October 29, 2010
PubMed
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Vascular closure devices are safe for interventional radiology procedures, showing a 97.2% deployment success rate. Serious access site complications were rare, with most bleeding managed by manual compression.

Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Medical Device Technology

Background:

  • Vascular closure devices are commonly used after interventional radiology procedures.
  • Major multicenter studies assessing their routine safety and effectiveness are lacking.

Purpose of the Study:

  • To assess the safety and effectiveness of routine vascular closure device use in interventional radiology.
  • To evaluate deployment success, complications, and outcomes in a large patient cohort.

Main Methods:

  • A registry of 1,107 patients utilizing vascular closure devices with an anchor and plug was conducted.
  • Data collected from January 2009 to August 2009.

Main Results:

  • Deployment success rate was 97.2%.

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Last Updated: Jun 7, 2026

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  • Deployment failure rates differed significantly between antegrade (8.8%) and retrograde (1.8%) access (P=0.001).
  • Postdeployment bleeding occurred in 6.4% (51.5% managed with compression); other complications (false aneurysms, hematoma, occlusions) were reported in 1.3%.

    • Conclusions:

    • Vascular closure devices with an anchor and plug are safe for interventional radiology.
    • The incidence of serious access site complications is low.
    • No significant difference in complications was observed between antegrade and retrograde access.