: Transfemoral access is nowadays required for an increasing number of percutaneous procedures, such as structural heart interventions, mechanical circulatory support, and interventional electrophysiology/pacing. Despite technological advancements and improved techniques, these devices necessitate large-bore (≥12 French) arterial/venous sheaths, posing a significant risk of bleeding and vascular complications, whose occurrence has been related to an increase in morbidity and mortality. Therefore, optimizing large-bore vascular access management is crucial in endovascular interventions. Technical options, including optimized preprocedural planning and proper selection and utilization of vascular closure devices, have been developed to increase safety. This review explores the comprehensive management of large-bore accesses, from optimal vascular puncture to sheath removal. It also discusses strategies for managing closure device failure, with the goal of minimizing vascular complications.
Paraggio, L., Bianchini, F., Aurigemma, C., Romagnoli, E., Bianchini, E., Zito, A., Lunardi, M., Trani, C., Burzotta, F., Femoral Large Bore Sheath Management: How to Prevent Vascular Complications From Vessel Puncture to Sheath Removal, <<CIRCULATION. CARDIOVASCULAR INTERVENTIONS>>, 2024; (N/A): N/A-N/A. [doi:10.1161/CIRCINTERVENTIONS.124.014156] [https://hdl.handle.net/10807/288178]
Femoral Large Bore Sheath Management: How to Prevent Vascular Complications From Vessel Puncture to Sheath Removal
Bianchini, Francesco;Aurigemma, Cristina;Romagnoli, Enrico;Bianchini, Emiliano;Zito, Andrea;Trani, Carlo;Burzotta, Francesco
2024
Abstract
: Transfemoral access is nowadays required for an increasing number of percutaneous procedures, such as structural heart interventions, mechanical circulatory support, and interventional electrophysiology/pacing. Despite technological advancements and improved techniques, these devices necessitate large-bore (≥12 French) arterial/venous sheaths, posing a significant risk of bleeding and vascular complications, whose occurrence has been related to an increase in morbidity and mortality. Therefore, optimizing large-bore vascular access management is crucial in endovascular interventions. Technical options, including optimized preprocedural planning and proper selection and utilization of vascular closure devices, have been developed to increase safety. This review explores the comprehensive management of large-bore accesses, from optimal vascular puncture to sheath removal. It also discusses strategies for managing closure device failure, with the goal of minimizing vascular complications.File | Dimensione | Formato | |
---|---|---|---|
paraggio-et-al-2024-femoral-large-bore-sheath-management-how-to-prevent-vascular-complications-from-vessel-puncture-to.pdf
accesso aperto
Tipologia file ?:
Versione Editoriale (PDF)
Licenza:
Creative commons
Dimensione
5.05 MB
Formato
Adobe PDF
|
5.05 MB | Adobe PDF | Visualizza/Apri |
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.