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"To close or not to close?" When should vascular closure devices be used after cardiac catheterization procedures?

Wassim Shatila1,2,3, Zvonimir Krajcer1,2,3

  • 1Department of Cardiology, Texas Heart Institute, Houston, Texas.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|November 7, 2017
PubMed

Insights

Vascular closure devices (VCD) are safe alternatives to manual compression for achieving hemostasis. The Celt ACT VCD significantly reduces time to hemostasis in anticoagulated patients.

Area of Science:

  • Cardiovascular interventions
  • Medical device technology

Background:

  • Vascular closure devices (VCD) offer an alternative to manual compression and surgical closure.
  • Key advantages of VCDs include reduced time to hemostasis (TTH) and time to mobilization.

Discussion:

  • The Celt ACT VCD, featuring a permanent stainless-steel implant, was evaluated for safety and efficacy.
  • Comparison was made against manual pressure in patients requiring 6-Fr femoral sheaths.

Key Insights:

  • The Celt ACT VCD demonstrated safety in anticoagulated patients undergoing femoral sheath procedures.
  • This device significantly decreased the time to hemostasis compared to manual pressure.

Outlook:

  • Further research may explore long-term outcomes and broader applications of the Celt ACT VCD.
  • Optimizing VCD use in diverse patient populations remains an area of interest.

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