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.

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