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IR Playbook pp 99–113Cite as

Vascular Access Techniques and Closure Devices

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Abstract

Although noninvasive imaging technologies have advanced significantly, invasive angiography remains the gold standard for diagnosis of a number of vascular pathologies. Minimally invasive therapy provided through transarterial and transvenous routes continues to increase for a variety of disease processes including cancer therapy, neurovascular pathology, atherosclerotic vascular disease, congenital vascular malformations, thrombosis, and management of active hemorrhage. Arterial access methods continue to progress by using nonstandard access vessels with a goal to improve patient safety, comfort, and facilitate procedural technical success. Venous interventions are varied and include thrombo-occlusive disease management, venoplasty, and venous access. Complex venous access techniques are often necessary for patients requiring a chronic central venous access. Several arterial access closure devices are currently available for use. Each device utilizes a unique mechanism to obtain hemostasis with a goal of diminishing post-procedural bleeding and reducing procedure time. Patient-specific risk factors and method of hemostasis should be considered to reduce bleeding risk.

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Author information

Authors and Affiliations

  1. Divisions of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Vivian Lee Bishay & Paul J. O’Connor

  2. SUNY Downstate Medical Center, College of Medicine, Brooklyn, NY, USA

    Ross B. Ingber

  3. Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Aaron M. Fischman

Authors
  1. Vivian Lee Bishay
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  2. Ross B. Ingber
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  3. Paul J. O’Connor
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  4. Aaron M. Fischman
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Corresponding author

Correspondence to Aaron M. Fischman .

Editor information

Editors and Affiliations

  1. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Nicole A. Keefe

  2. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Ziv J Haskal

  3. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Auh Whan Park

  4. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    John F. Angle

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Bishay, V.L., Ingber, R.B., O’Connor, P.J., Fischman, A.M. (2018). Vascular Access Techniques and Closure Devices. In: Keefe, N., Haskal, Z., Park, A., Angle, J. (eds) IR Playbook. Springer, Cham. https://doi.org/10.1007/978-3-319-71300-7_8

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  • DOI: https://doi.org/10.1007/978-3-319-71300-7_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71299-4

  • Online ISBN: 978-3-319-71300-7

  • eBook Packages: MedicineMedicine (R0)

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