Vascular closure device: Difference between revisions

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== Vascular Closure Device ==
A '''vascular closure device''' (VCD) is a medical device used to achieve hemostasis of the small hole in the artery after a [[cardiac catheterization]] procedure is performed. These devices are used to close the puncture site in the [[femoral artery]] after [[angiography]] or [[angioplasty]] procedures.
A '''vascular closure device''' (VCD) is a medical device used to achieve hemostasis of the small hole in the artery after a [[cardiac catheterization]] procedure is performed. These devices are used to close the puncture site in the [[femoral artery]] after [[angiography]] or [[angioplasty]] procedures.


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Vascular closure devices can be broadly categorized into three types:
Vascular closure devices can be broadly categorized into three types:


* **Collagen-based devices**: These devices use a plug of collagen to seal the puncture site. The collagen induces clotting and tissue growth to close the hole.
* '''Collagen-based devices''': These devices use a plug of collagen to seal the puncture site. The collagen induces clotting and tissue growth to close the hole.


* **Suture-based devices**: These devices use a suture to stitch the artery closed. They are often used in larger puncture sites or when a more secure closure is needed.
* '''Suture-based devices''': These devices use a suture to stitch the artery closed. They are often used in larger puncture sites or when a more secure closure is needed.


* **Sealant-based devices**: These devices use a polymer sealant that expands upon contact with blood to seal the puncture site.
* '''Sealant-based devices''': These devices use a polymer sealant that expands upon contact with blood to seal the puncture site.


== Advantages and Disadvantages ==
== Advantages and Disadvantages ==
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Vascular closure devices offer several advantages over traditional [[manual compression]] techniques:
Vascular closure devices offer several advantages over traditional [[manual compression]] techniques:


* **Reduced time to hemostasis**: VCDs can significantly reduce the time required to achieve hemostasis compared to manual compression.
* '''Reduced time to hemostasis''': VCDs can significantly reduce the time required to achieve hemostasis compared to manual compression.


* **Increased patient comfort**: Patients often experience less discomfort and can mobilize sooner when a VCD is used.
* **Increased patient comfort**: Patients often experience less discomfort and can mobilize sooner when a VCD is used.
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However, there are also potential disadvantages:
However, there are also potential disadvantages:


* **Risk of complications**: There is a risk of complications such as [[infection]], [[hematoma]], or [[pseudoaneurysm]] formation.
* '''Risk of complications''': There is a risk of complications such as [[infection]], [[hematoma]], or [[pseudoaneurysm]] formation.


* **Cost**: VCDs can be more expensive than manual compression.
* '''Cost''': VCDs can be more expensive than manual compression.


== Clinical Use ==
== Clinical Use ==
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[[Category:Medical devices]]
[[Category:Medical devices]]
[[Category:Cardiology]]
[[Category:Cardiology]]
<gallery>
File:Vascular_closure_device.jpg|Vascular closure device
</gallery>

Latest revision as of 21:53, 16 February 2025

A vascular closure device (VCD) is a medical device used to achieve hemostasis of the small hole in the artery after a cardiac catheterization procedure is performed. These devices are used to close the puncture site in the femoral artery after angiography or angioplasty procedures.

A vascular closure device in use.

Types of Vascular Closure Devices[edit]

Vascular closure devices can be broadly categorized into three types:

  • Collagen-based devices: These devices use a plug of collagen to seal the puncture site. The collagen induces clotting and tissue growth to close the hole.
  • Suture-based devices: These devices use a suture to stitch the artery closed. They are often used in larger puncture sites or when a more secure closure is needed.
  • Sealant-based devices: These devices use a polymer sealant that expands upon contact with blood to seal the puncture site.

Advantages and Disadvantages[edit]

Vascular closure devices offer several advantages over traditional manual compression techniques:

  • Reduced time to hemostasis: VCDs can significantly reduce the time required to achieve hemostasis compared to manual compression.
  • **Increased patient comfort**: Patients often experience less discomfort and can mobilize sooner when a VCD is used.

However, there are also potential disadvantages:

  • Cost: VCDs can be more expensive than manual compression.

Clinical Use[edit]

Vascular closure devices are commonly used in interventional cardiology and radiology procedures. They are particularly useful in patients who require early ambulation or have a high risk of bleeding.

Related Pages[edit]