Endovascular aneurysm repair, transcatheter aortic valve implantation and percutaneous mechanical circulatory support systems have become valuable alternatives to conventional surgery and even preferred strategies for a wide array of clinical entities. Their adoption in everyday practice is growing. These procedures require large-bore access into the femoral artery. Their use is thus associated with clinically significant vascular bleeding complications. Meticulous access site management is crucial for safe implementation of large-bore technologies and includes accurate puncture technique and reliable percutaneous closure devices. This article reviews different strategies for obtaining femoral access and contemporary percutaneous closure technologies.

Transcatheter aortic valve implantation, endovascular aneurysm repair, mechanically circulatory support, vascular access, vascular closure device
dx.doi.org/10.15420/icr.2018.36.1, hdl.handle.net/1765/127130
Interventional Cardiology (London)
Department of Cardiology

van Wiechen, M.P.H., Ligthart, J.M.R, & van Mieghem, N.M. (2019). Large-bore Vascular Closure: New devices and techniques. Interventional Cardiology (London), 14(1), 17–21. doi:10.15420/icr.2018.36.1