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Low-angle vascular access for neurovascular procedures using the Arstasis AXERA access device
Manuel Correa Fortes1, Gaurav Jindal, Adam J Polifka
1Department of Radiology, University of Maryland Medical Center, Baltimore, MD 21201, USA. mfortes@umm.edu
Journal of Vascular and Interventional Radiology : JVIR
|March 16, 2013
Summary
The Arstasis AXERA arterial access device demonstrated safety and efficacy in neuroendovascular procedures, with a low complication rate of 3%. This device aims to reduce compression and ambulation times for patients.
Area of Science:
- Neurology
- Vascular Surgery
- Medical Devices
Background:
- Neuroendovascular procedures require reliable arterial access.
- Minimizing procedural time and patient recovery is crucial.
Purpose of the Study:
- To evaluate the safety and efficacy of the Arstasis AXERA arterial access device.
- Assess the device's impact on compression and ambulation times.
Main Methods:
- Single-center retrospective study of 94 patients.
- Used the AXERA arterial access device in 104 neurovascular procedures (81 diagnostic, 23 interventional).
- Procedures utilized 5-6-F vascular sheaths with manual compression for hemostasis.
Main Results:
- A low complication rate of 3% was observed (1% hematoma, 2% failed procedures).
- Median time to hemostasis was 4 minutes with manual compression.
- Outpatients ambulated at 1 hour after diagnostic angiography.
Conclusions:
- The AXERA device modifies arterial puncture angle.
- Potential to reduce manual compression and patient ambulation times.
