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Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

528
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

207
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
207
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

194
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Large-bore vascular closure: Evolution not revolution for now.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventionsยท2021
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A multicenter randomized trial comparing the effectiveness and safety of a novel vascular closure device to manual compression in anticoagulated patients undergoing percutaneous transfemoral procedures: The CELT ACD trial.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventionsยท2017
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Related Experiment Video

Updated: Dec 21, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Closing up after TAVR.

Zoltan G Turi1

  • 1Cooper Medical School of Rowan University, Camden, New Jersey, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|May 19, 2020
PubMed
Summary
This summary is machine-generated.

Vascular closure techniques vary widely. Combining suture and collagen plug closure offers theoretical advantages but requires cautious safety and efficacy evaluation due to limited data from small studies.

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Area of Science:

  • Cardiovascular Interventions
  • Vascular Surgery

Background:

  • Vascular access and closure methods are diverse and evolving.
  • The combination of suture and collagen plug closure presents theoretical benefits.
  • Potential additive risks associated with combined closure techniques warrant consideration.

Discussion:

  • Evidence for the safety and efficacy of combined suture and collagen plug vascular closure is currently limited.
  • Claims of promising outcomes should be approached with caution.
  • Small, single-site series may not provide sufficient data for definitive conclusions.

Key Insights:

  • Heterogeneity in vascular closure techniques necessitates careful evaluation.
  • Combined closure methods require rigorous assessment of both benefits and risks.
  • The reliability of safety and efficacy data is dependent on study size and scope.

Outlook:

  • Further research with larger, multi-center studies is needed to establish definitive safety and efficacy profiles.
  • Standardization of vascular closure techniques may improve outcome predictability.
  • Long-term data is crucial for understanding the full impact of novel closure methods.