This clinical consensus statement provides standardized recommendations for vascular access and closure during electrophysiological procedures to improve accuracy and reduce complications.
Graphical AbstractA standardized step-by-step approach to vascular access during electrophysiological procedures: Begin by identifying patients at higher risk for vascular complications and consider alternative access routes in cases of inferior vena cava interruption. Allow the patient to drink clear fluids and adopt an uninterrupted anticoagulation strategy when feasible. Choose the access site based on procedural needs and patient anatomy, giving preference to ultrasound-guided puncture to improve accuracy and reduce complications. At the end of the procedure, select the most appropriate closure technique – manual compression, figure-of-eight suture, or a vascular closure device – based on access site, sheath size, and patient-specific factors.
Potter et al. (Wed,) studied this question.