Abstract
In the first edition of this textbook, I discussed overall management of the percutaneous access site. Since that chapter was written, a great deal has changed in endovascular procedures. Rather than restate aspects that have remained the same (e.g., the importance of care and precision when accomplishing a correctly placed sheath), it is more useful to provide an update on the advances in devices, techniques, and strategies that have been developed. It is also useful to resummarize some of the most important principles and techniques that remain unchanged. Because most of the advances involve the Perclose procedure and the ways in which it can be used to permit new diagnostic and interventional strategies, more space is devoted to these devices. There is an obvious bias toward the Perclose devices because their use allows the widest choice of interventional strategies, and they offer the most secure method of access site management. The use of Perclose devices is growing rapidly worldwide, so there is also a section in this chapter dedicated to the practical use of the devices. In particular, the discussion is directed toward new strategies for endovascular procedures.
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References
Kensey KR: Puncture site hemostasis, J Inv Cardiol 6 (8): 273–276, 1994.
Cohen DJ, Breall JA, Ho KKL et al: Economics of elective coronary revascularization. Comparison of costs and charges for conventional angioplasty, directional atherectomy, stenting and bypass surgery, J Am Coll Cardiol 22 (4): 1052–1059, 1993.
Vetter JW, Ribero FE, Hinohara T et al: Suture-medicated percutaneous closure of femoral artery access sites in fully anticoagulated patients following coronary interventions, Circulation 90 (4): 901–921, 1994.
Kim D, Orron D et al: Role of superficial femoral artery puncture in the development of pseudo-aneurysm and arteriovenous fistula complicating percutaneous transfemoral cardiac catheterization, Cath Cardiovasc Diagn 25: 91–97.
Foley JB, Brown RI, Penn IM: Thrombosis and restenosis after stenting in failed angioplasty comparison with elective stenting, Am Heart J 128 (1): 12–20, 1994.
Felmeth BD, Roberts AC et al: Postangiographic femoral artery injuries: nonsurgical repair with US-guided compression, Radiology 178: 671–675, 1991.
Cohen GI, Chan KL: Physical examination and echo Doppler study in the assessment of femoral arterial complications following cardiac catheterization, Cath Cardiovasc Diagn 21 (3): 137–143, 1990.
Suggested Readings
Fischman DL, Leon MB, Baim DS et al: Stent restenosis study investigators, N Engl J Med 331 (8): 496–501, 1994.
George BS, Voorhees WD III, Roubin GS et al: Multicenter investigation of coronary stenting to treat acute or threatened closure after percutaneous transluminal coronary angioplasty: clinical and angiographic outcomes, J Am Coll Cardiol 22 (1): 135–143, 1993.
Grossman W, Bairn D: Cardiac catheterization, angiography, and intervention, Lea & Febiger Fourth Edition, 1991.
Khoury M, Batra S, Berg R et al: Influence of arterial access sites and interventional procedures on vascular complications after cardiac catheterization, Am J Surg 164 (3): 205–209, 1992.
Kresowik TF, Khoury MD, Miller BV et al: A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angiography, J Vasc Surg 13: 328–336, 1991.
Mackenzie DJ, Wagner WH, Kulber DA et al: Vascular complications of the intra-aortic balloon pump, Am J Surg 164 (3): 517–521, 1992.
McCann RL, Schwartz LB, Pieper KS: Vascular complications of cardiac catheterization, J Vasc Surg 14: 375–381, 1991.
Muller DW, Shamir KJ, Ellis SG et al: Peripheral vascular complications after conventional and complex percutaneous coronary interventional procedures, J Cardiol 69: 63–68, 1992.
Oweida SW, Roubin GS et al: Post catheterization vascular complications associated with percutaneous transluminal coronary angioplasty, J Vasc Surg 12: 310–315, 1990.
Popma JJ, Satler LF, Pitchard AD et al: Vascular complications after balloon and new device angioplasty, Circulation 88: 1569–1578, 1993.
Schatz RA, Bairn DS, Leon M et al: Clinical experience with the Palmaz-Schatz coronary stent: initial results of a multicenter study, Circulation 83: 148–161, 1991.
Semler HJ: Transfemoral catheterization: mechanical vs. manual control of bleeding, Radiology 154: 234–235, 1985.
Serruys PW, de Jaegere P, Kiemeneij F et al: Benestent study group, N Engl J Med 331 (8): 489–495, 1994.
Skillman JJ, Kim D, Baim DS: Vascular complications of percutaneous femoral cardiac interventions: incidence and operative repair, Arch Surg 123: 1207–1212, 1988.
Sridhar et al: Reduction in peripheral vascular complications after coronary stenting by the use of a pneumatic vascular compression device, Circulation 90(4), 1994 (abstract).
Vetter JW, Hinohara T, Ribeiro EE et al: Percutaneous vascular surgery: suture-mediated percutaneous closure of femoral artery access site following coronary intervention, J Am Coll Cardiol Special Issue: 10A, 1005.
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Vetter, J.W. (1999). Management of the Percutaneous Access Site. In: White, R.A., Fogarty, T.J. (eds) Peripheral Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3105-7_40
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DOI: https://doi.org/10.1007/978-1-4757-3105-7_40
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