Author + information
- Received May 3, 2007
- Revision received July 5, 2007
- Accepted July 15, 2007
- Published online October 23, 2007.
- ↵⁎Reprint requests and correspondence:
Dr. Harold L. Dauerman, University of Vermont College of Medicine, Fletcher Allen Health Care, 111 Colchester Avenue, McClure 1 Cardiology, Burlington, Vermont 05401.
Vascular closure devices (VCDs) introduce a novel means for improving patient comfort and accelerating ambulation after invasive cardiovascular procedures performed via femoral arterial access. Vascular closure devices have provided simple, rapid, and reliable hemostasis in a variety of clinical settings. Despite more than a decade of development, however, VCD utilization has neither been routine in the U.S. nor around the world. Their limited adoption reflects concerns of higher costs for cardiac procedures and a lack of data confirming a significant reduction in vascular complications compared with manual compression. Recent data, however, suggest that VCD are improving, complication rates associated with their use may be decreasing, and their utilization may improve the process of care after femoral artery access. Challenges in the second decade of VCD experience will include performing definitive randomized trials, evaluating outcomes in higher-risk patients, and developing more ideal closure devices.
Dr. Dauerman has significant disclosures of research support and/or consulted on behalf of Boston Scientific, The Medicines Company, Abbott Vascular, and St. Jude. Dr. Cohen has received grant support from Cordis, Boston Scientific, The Medicines Company, Eli Lilly, and Bristol-Myers Squibb/Sanofi. Dr. Applegate has significant research grants from Cordis Corporation and Vascular Solutions as well as consulting for both Abbott Vascular and St. Jude Medical. In addition, Drs. Dauerman and Applegate receive fellowship support from Boston Scientific.
- Received May 3, 2007.
- Revision received July 5, 2007.
- Accepted July 15, 2007.
- American College of Cardiology Foundation