Vascular closure devices

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Vascular closure devices

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Vascular Medicine

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-525-6884

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2] Phone:617-525-7431

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [3] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Current Limitations of Vascular Closure Devices

  • Compatible primarily with 5–6 Fr sheath technology
  • Not proven in ≥7Fr technology
  • Require long learning curve
  • Small vessel size (<4.0–5.0mm); a contraindication to use
  • Non-common femoral artery ‘sticks’; a contraindication to use
  • Peripheral vascular disease; a contraindication to use (very common problem)
  • Significant endoluminal device components (prone to thrombosis)
  • High costs
  • Require bed rest post closure
  • Impaired or delayed common femoral artery re-entry (re-access concerns)
  • Non-inert, very reactive, permanent and absorbable device components (therefore may be prone to infection and common femoral artery scarring)
  • Catastrophic complications (1–2%, but may be underreported)
  • Poorly compatible with anticoagulated patients (increased bleeding)
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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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