{"id":4359,"date":"2025-04-25T14:09:09","date_gmt":"2025-04-25T12:09:09","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=4359"},"modified":"2025-06-09T18:36:29","modified_gmt":"2025-06-09T16:36:29","slug":"cvja-2023-054","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2023-054\/","title":{"rendered":"Ultrasonographic assessment and clinical outcomes after deployment of a suture-mediated femoral vascular closure device"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            Dimitrios Papoutsis, Konstantinos Mourouzis, Nikoleta Bozini, Konstantinos Aznaouridis, Evangelos Oikonomou, Katerina Chatzimichael, Elias Brountzos, Manolis Vavuranakis, Costas Tsioufis, John Lekakis, Gerasimos Siasos,Dimitris Tousoulis                                                                                                            \r\n        <\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                            \r\n        <strong>Introduction:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        Data regarding changes in the arterial vascular wall after the deployment of suture-mediated vascular closure devices (VCD) at the femoral site in patients undergoing percutaneous coronary angiography (CAG) or percutaneous coronary intervention (PCI) are sparse. This study investigated the occurrence of structural vascular changes or adverse vascular complications at the access site in the short term after the deployment of a suture-mediated intravascular VCD.                                                                                                                    \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        Ninety-three patients (72% males) with a mean age of 62 \u00b1 11 years were enrolled. Duplex sonography was conducted at the access site at baseline, 24 hours and 30 days after femoral puncture in patients with successful VCD deployment. Vessel diameter, flow velocities, the severity of atherosclerosis, and the intravascular or perivascular tissue alterations in both the right common femoral artery (RCFA) and right external iliac artery (REILA) were assessed. Vascular complications were documented.                                                                                                                                     <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Results:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        There were no significant changes regarding the diameter of the RCFA in the transverse and longitudinal view, peak systolic velocity (PSV) of the RCFA, PSV ratio of the RCFA to REILA, the resistive index of the RFCA and the severity of arterial wall abnormalities before femoral puncture, the day following VCD deployment and 30 days after (p = NS for all) in the general population and in patients with diabetes mellitus, on oral anticoagulants or with mild peripheral artery disease (p = NS for all markers). Device failure was observed in four cases. Few (4.4%) patients had vascular complications, which included exclusively major or minor haematomas, most of which did not persist at the 30-day follow up.                                                                                                                    \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n         The use of a suture-mediated VCD was safe and was not associated with adverse vascular wall changes at the femoral access site 30 days after deployment in patients undergoing CAG and\/or PCI.                                                                                                                    \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong> vascular closure device, suture-mediated, duplex ultrasound, complications, femoral artery<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> May 29, 2022;<!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> October 30, 2023;<!--Month day, year; -->        \r\n    <strong>Published Online First:<\/strong> November 16, 2023;<!--Month day, year; -->                                                                        \r\n    <strong>Published:<\/strong> December 15, 2024<!--Month day, year; -->                                                                                                                                  <br \/>                                                      \r\n        <em>Cardiovasc J Afr 2024; <b>35<\/b>: 321-326<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 35, Issue 4<\/strong> <br \/>    \r\n                                                                        \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2023-054<!--DOI number-->                                                                \r\n        <\/div>    \r\n        \r\n        <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, Greece<\/strong>    <br \/>                                                                                \r\n             Dimitrios Papoutsis, MD, PhD<br \/>\r\nKonstantinos Mourouzis, MD, MSC, PhD<br \/>\r\nNikoleta Bozini, MD, MSc<br \/>\r\nKonstantinos Aznaouridis, MD, PhD<br \/>\r\nEvangelos Oikonomou, MD, MSc, PhD<br \/>\r\nManolis Vavuranakis, MD, PhD<br \/>\r\nCostas Tsioufis, MD, PhD<br \/>\r\nGerasimos Siasos, MD, MSc, PhD<br \/>\r\nDimitris Tousoulis, MD, PhD<br \/>\r\n                                                                                                                                        \r\n            <\/div>\r\n            \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Second Department of Cardiology, Medical School, Attikon Hospital, National and Kapodistrian University of Athens, Athens, Greece<\/strong>    <br \/>                                                                                \r\n                                                                                                                                                                                                                                                                                                                                                \r\n                \r\n                Dimitrios Papoutsis, MD, PhD<br \/>\r\nJohn Lekakis, MD, PhD<br \/>\r\n                                                                                                                                        \r\n            <\/div>\r\n            \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Medizinische Klinik und Poliklinik I, LMU Universiy Hospital Munich, Munich, Germany<\/strong>    <br \/>                                                                                \r\n                                                                                                                                                                                                                                                                                                                                                \r\n                \r\n                Konstantinos Mourouzis, MD, MSc, PhD <br \/>    \r\n                                                                                                                                        \r\n            <\/div>\r\n            \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Department of Cardiovascular Surgery, German Heart Centre, Technical University, Munich, Germany<\/strong>    <br \/>                                                                                \r\n                                                                                                                                                                                                                                                                                                                                                \r\n                \r\n                Nikoleta Bozini, MD, MSc <br \/>    \r\n                                                                                                                                        \r\n            <\/div>\r\n                    \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Third Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Sotiria Chest Disease Hospital, Athens, Greece<\/strong>    <br \/>                                                                                \r\n                                                                                                                                                                                                                                                                                                                                                \r\n                \r\n                Evangelos Oikonomou, MD, MSc, PhD<br \/>\r\nManolis Vavuranakis, MD, PhD <br \/>\r\n                                                                                                                                        \r\n            <\/div>                                                                                                                        \r\n                                                                                                                                                                                                                                                                                                                                                                                                    \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Second Department of Radiology, Medical School, University General Hospital, ATTIKON, National and Kapodistrian University of Athens, Athens, Greece<\/strong>    <br \/>                                                                            \r\n                                                                                                                                        \r\n                Katerina Chatzimichael, MD, PhD<br \/>\r\nElias Brountzos, MD, PhD<br \/>\r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Cardiovascular Division, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA, USA<\/strong>    <br \/>                                                                            \r\n                                                                                                                                        \r\n                Gerasimos Siasos, MD, MSc, PhD <br \/><br \/>\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Data regarding changes in the arterial vascular wall after the deployment of suture-mediated vascular closure devices (VCD) at the femoral site in patients undergoing percutaneous coronary angiography (CAG) or percutaneous coronary intervention (PCI) are sparse. This study investigated the occurrence of structural vascular changes or adverse vascular complications at the access site in the short term after the deployment of a suture-mediated intravascular VCD.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,95],"tags":[],"class_list":["post-4359","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-35-issue-4"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ultrasonographic assessment and clinical outcomes after deployment of a suture-mediated femoral vascular closure device - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"Data regarding changes in the arterial vascular wall after the deployment of suture-mediated vascular closure devices (VCD) at the femoral site in patients undergoing percutaneous coronary angiography (CAG) or percutaneous coronary intervention (PCI) are sparse. This study investigated the occurrence of structural vascular changes or adverse vascular complications at the access site in the short term after the deployment of a suture-mediated intravascular VCD.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2023-054\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ultrasonographic assessment and clinical outcomes after deployment of a suture-mediated femoral vascular closure device - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"Data regarding changes in the arterial vascular wall after the deployment of suture-mediated vascular closure devices (VCD) at the femoral site in patients undergoing percutaneous coronary angiography (CAG) or percutaneous coronary intervention (PCI) are sparse. 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