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Closure Device Complication

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Endovascular Interventions

Abstract

Diagnostic catheterization and percutaneous interventions are increasing as the population ages, and atherosclerosis prevails in many vascular territories. Access site complications such as bleeding, hematoma, and retroperitoneal bleed have become the Achilles heel of interventional cardiology. Access closure at the end of the procedure is one of the pivotal steps that determine success of a diagnostic or interventional procedure. Several studies have examined the best techniques to reduce hospital stay and decrease bleeding complications at the access site. With the creation of vascular closure devices (VCD), hemostasis could be achieved within 5-10 minutes. Complications of bleeding were reduced. However, new complications caused by the deployment of VCDs happened. In this chapter, the complications during usage of these VCDs and the strategies how to correct and prevent them will be discussed.

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Author information

Authors and Affiliations

  1. Cardiology Department, St Mary Medical Center, Community Healthcare System, 1500 South Lake Park Ave, Hobart, IN, 46342, USA

    Thach Nguyen MD

  2. Cardiology Department, The University of Arizona Medical Center, 1501 North Campbell Avenue, Tucson, AZ, 85724, USA

    James Nguyen MD

  3. Cardiology Department, Nanjing First Hospital, Nanjing Heart Center, Nanjing Medical University, 68 Changle Road, Hanfu Street, Changjiang Road, Nanjing, 210006, Jiangsu, China

    Shao L. Chen MD

  4. Department of Medicine, Weiss Memorial Hospital, 4750 North Clarendon # 1205, Chicago, IL, 60640, USA

    Hung Phan MD

  5. Department of Medicine, West Virginia University, Charleston, WV, USA

    Aravinda Nanjundappa MD, RVT

Authors
  1. Thach Nguyen MD
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  2. James Nguyen MD
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  3. Shao L. Chen MD
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  4. Hung Phan MD
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  5. Aravinda Nanjundappa MD, RVT
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Editor information

Editors and Affiliations

  1. Edward Hines, Jr. VA Hospital Loyola University Medical Center, Glen Ellyn, Illinois, USA

    Robert S. Dieter

  2. Northern Illinois Surgery Center, Naperville, Illinois, USA

    Raymond A. Dieter, Jr.

  3. University of Tennessee Medical Center, Knoxville, Tennessee, USA

    Raymond A. Dieter, III

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© 2014 Springer Science+Business Media New York

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Nguyen, T., Nguyen, J., Chen, S.L., Phan, H., Nanjundappa, A. (2014). Closure Device Complication. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_47

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  • DOI: https://doi.org/10.1007/978-1-4614-7312-1_47

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7311-4

  • Online ISBN: 978-1-4614-7312-1

  • eBook Packages: MedicineMedicine (R0)

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