Percutaneous, Antegrade Access of the Superficial Femoral Artery can be Safely Used in Procedures for the Treatment of Lower Extremity Limb Ischemia

Efficacy and Safety of Axiostat® Hemostatic Dressing in Aiding Manual Compression Closure of the Femoral Arterial Access Site in Patients Undergoing Endovascular Treatments: A Preliminary Clinical Experience in Two Centers

“…Gewalt et al recorded a significantly shorter time to hemostasis in women assigned to a VCD compared with those assigned to MC (1 min [IQR, 0.5-2.0] versus 11 min [IQR, [10][11][12][13][14][15]; p < 0.001); a 1:1 ratio of extravascular and intravascular VCDs was adopted [19]. Similarly, Schulz-Schüpke et al also observed a shorter time to hemostasis in patients assigned to receive VCD compared with those assigned to receive manual compression (1 min [IQR, 0.5-2.0], versus 10 min [IQR, [10][11][12][13][14][15]; p < 0.001). Jakobsen et al noted a median TTH of 4 min (IQR, 3-5) in 432 patients undergoing vascular access site hemostasis with the extravascular VCD MynxGrip ® [55].…”

“…It provides easy antegrade access to the ipsilateral lower extremity and retrograde access to the remaining arterial tree, thus enabling numerous endovascular procedures aimed at restoring vessel caliber, removing a thrombus, occluding a vessel, retrieving foreign bodies, or delivering drugs or medical devices. Arterial introducer sheaths ranging in size from 4 to 8 Fr are used in most interventional radiology procedures [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ]. After the removal of the introducer sheath, achieving hemostasis of the vascular access site by manual compression (MC) or a vascular closure device (VCD) is critical to the safe completion of any endovascular procedure [ 13 ].…”