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Obtaining Hemostasis at Puncture Sites 

Obtaining Hemostasis at Puncture Sites
Chapter:
Obtaining Hemostasis at Puncture Sites
Author(s):

Sreekumar Madassery

DOI:
10.1093/med/9780199986071.003.0046
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date: 27 January 2020

This chapter pertains to femoral artery access. Attaining an “ideal” access is essential for maximizing the chances of maintaining effective hemostasis. Deciding whether to perform arterial access closure using the gold standard of manual compression versus a vascular closure device (VCD) requires the operator to evaluate many characteristics of the patient. The location of the arteriotomy, vessel size, degree of calcification, use of anticoagulants, and sheath size during the procedure are the primary factors that need to be considered. The ISAR-CLOSURE study reported that use of VCDs was not inferior to manual compression. This chapter discusses applications and potential complications of VCDs.

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