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Early experience with CELT ACD vascular access closure device for neurointerventional procedures.
Ahmet K Dalkilic1, Manisha Koneru2, Iris Charcos2
1Cooper Medical School of Rowan University, Camden, NJ, USA.
The Journal of Vascular Access
|November 12, 2025
Summary
The CELT arterial closure device shows promising results for neurointerventional procedures, achieving high deployment success and minimal complications in larger arteriotomies.
Area of Science:
- Vascular Surgery
- Interventional Neurology
- Medical Device Technology
Background:
- The CELT arterial closure device utilizes a steel radiopaque structure for arterial hemostasis without sheath exchange.
- Limited data exists on CELT device use in neurointerventional procedures, especially with larger arteriotomies.
Purpose of the Study:
- To evaluate the performance and safety of the CELT arterial closure device in neurointerventional procedures.
- To assess device failure and access site complications with CELT in larger arteriotomies.
Main Methods:
- A prospective registry of neurointerventional procedures was retrospectively reviewed.
- Included were consecutive transfemoral cases using 6, 7, or 8F sheaths closed with a 6 or 7F CELT device.
- Primary outcomes were device failure and access site complications.
Main Results:
- 119 CELT closures were performed in 116 patients.
- Successful deployment was achieved in 98.3% of cases (117/119).
- A single instance of minor groin hematoma (0.8%) was reported; no other access site complications occurred.
Conclusions:
- Early experience indicates favorable performance of the CELT device in neurointerventional settings.
- The CELT device demonstrates minimal complications, even with larger arteriotomies.
- Further investigation into CELT for neurointerventional procedures is warranted.
