Why the study?
Following rapid developments in minimally invasive therapies, large-bore access devices, vascular compatibility, access site complications, and percutaneous vascular closure methods needed review.
This review summarizes the evolution, characteristics, complication rates, and closure methods for large-bore arterial access devices used in structural cardiovascular interventions.
Catalogs large bore access device options; leaves optimal vascular compatibility selection open for prospective trials.
Over the last two decades, the medical community witnessed an outstanding and accelerated development on minimally invasive therapies. The definition of what constitutes large bore access is subject to discussion, however within the field it is generally accepted to reflect a catheter diameter exceeding 8-French. We sought in this review to explore the evolution, characteristics and vascular compatibility of the current commercially available devices, analyze the devices along with access site-specific complications rates and finally review the present methods for percutaneous vascular closure.
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Grant et al. (2020) studied this question.
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