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Title: CIRSE Vascular Closure Device Registry

Abstract

Purpose: Vascular closure devices are routinely used after many vascular interventional radiology procedures. However, there have been no major multicenter studies to assess the safety and effectiveness of the routine use of closure devices in interventional radiology. Methods: The CIRSE registry of closure devices with an anchor and a plug started in January 2009 and ended in August 2009. A total of 1,107 patients were included in the registry. Results: Deployment success was 97.2%. Deployment failure specified to access type was 8.8% [95% confidence interval (95% CI) 5.0-14.5] for antegrade access and 1.8% (95% CI 1.1-2.9) for retrograde access (P = 0.001). There was no difference in deployment failure related to local PVD at the access site. Calcification was a reason for deployment failure in only <0.5% of patients. Postdeployment bleeding occurred in 6.4%, and most these (51.5%) could be managed with light manual compression. During follow-up, other device-related complications were reported in 1.3%: seven false aneurysms, three hematoma >5.9 cm, and two vessel occlusions. Conclusion: The conclusion of this registry of closure devices with an anchor and a plug is that the use of this device in interventional radiology procedures is safe, with a low incidence of serious accessmore » site complications. There seems to be no difference in complications between antegrade and retrograde access and other parameters.« less

Authors:
 [1];  [2];  [3];  [4];  [5];  [6];  [5];  [7];  [8];  [9]
  1. Academic Medical Center, Department of Radiology (Netherlands)
  2. Academic Hospitals, Department of Radiology (Germany)
  3. University Clinics, Department of Radiology (Germany)
  4. Hasharon Hospital, Department of Radiology (Israel)
  5. University Clinics Schleswig-Holstein, Department of Radiology (Germany)
  6. University Clinics St. Luc, Department of Radiology (Belgium)
  7. University Hospital, Department of Radiology (Slovakia)
  8. Scheper Ziekenhuis, Department of Radiology (Netherlands)
  9. St. Georges Hospital, Department of Radiology (United Kingdom)
Publication Date:
OSTI Identifier:
21608838
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 34; Journal Issue: 1; Conference: BSIR 2010: Annual meeting of the British Society of Interventional Radiology, Liverpool (United Kingdom), 3-5 Nov 2010; Other Information: DOI: 10.1007/s00270-010-0004-y; Copyright (c) 2011 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2010 The Author(s); Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CLOSURES; FAILURES; HEMATOMAS; PATIENTS; RADIOLOGY; SAFETY; MEDICINE; NUCLEAR MEDICINE

Citation Formats

Reekers, Jim A., E-mail: j.a.reekers@amc.uva.nl, Mueller-Huelsbeck, Stefan, Libicher, Martin, Atar, Eli, Trentmann, Jens, Goffette, Pierre, Borggrefe, Jan, Zelenak, Kamil, Hooijboer, Pieter, and Belli, Anna-Maria. CIRSE Vascular Closure Device Registry. United States: N. p., 2011. Web. doi:10.1007/S00270-010-0004-Y.
Reekers, Jim A., E-mail: j.a.reekers@amc.uva.nl, Mueller-Huelsbeck, Stefan, Libicher, Martin, Atar, Eli, Trentmann, Jens, Goffette, Pierre, Borggrefe, Jan, Zelenak, Kamil, Hooijboer, Pieter, & Belli, Anna-Maria. CIRSE Vascular Closure Device Registry. United States. doi:10.1007/S00270-010-0004-Y.
Reekers, Jim A., E-mail: j.a.reekers@amc.uva.nl, Mueller-Huelsbeck, Stefan, Libicher, Martin, Atar, Eli, Trentmann, Jens, Goffette, Pierre, Borggrefe, Jan, Zelenak, Kamil, Hooijboer, Pieter, and Belli, Anna-Maria. Tue . "CIRSE Vascular Closure Device Registry". United States. doi:10.1007/S00270-010-0004-Y.
@article{osti_21608838,
title = {CIRSE Vascular Closure Device Registry},
author = {Reekers, Jim A., E-mail: j.a.reekers@amc.uva.nl and Mueller-Huelsbeck, Stefan and Libicher, Martin and Atar, Eli and Trentmann, Jens and Goffette, Pierre and Borggrefe, Jan and Zelenak, Kamil and Hooijboer, Pieter and Belli, Anna-Maria},
abstractNote = {Purpose: Vascular closure devices are routinely used after many vascular interventional radiology procedures. However, there have been no major multicenter studies to assess the safety and effectiveness of the routine use of closure devices in interventional radiology. Methods: The CIRSE registry of closure devices with an anchor and a plug started in January 2009 and ended in August 2009. A total of 1,107 patients were included in the registry. Results: Deployment success was 97.2%. Deployment failure specified to access type was 8.8% [95% confidence interval (95% CI) 5.0-14.5] for antegrade access and 1.8% (95% CI 1.1-2.9) for retrograde access (P = 0.001). There was no difference in deployment failure related to local PVD at the access site. Calcification was a reason for deployment failure in only <0.5% of patients. Postdeployment bleeding occurred in 6.4%, and most these (51.5%) could be managed with light manual compression. During follow-up, other device-related complications were reported in 1.3%: seven false aneurysms, three hematoma >5.9 cm, and two vessel occlusions. Conclusion: The conclusion of this registry of closure devices with an anchor and a plug is that the use of this device in interventional radiology procedures is safe, with a low incidence of serious access site complications. There seems to be no difference in complications between antegrade and retrograde access and other parameters.},
doi = {10.1007/S00270-010-0004-Y},
journal = {Cardiovascular and Interventional Radiology},
number = 1,
volume = 34,
place = {United States},
year = {Tue Feb 15 00:00:00 EST 2011},
month = {Tue Feb 15 00:00:00 EST 2011}
}