Initial experience with the AXERA 2 Femoral Access System in neurovascular procedures. Interv Neuroradiol 2015 Jun;21(3):412-7
Date
05/28/2015Pubmed ID
26015530Pubmed Central ID
PMC4757271DOI
10.1177/1591019915582163Scopus ID
2-s2.0-84930825172 (requires institutional sign-in at Scopus site) 1 CitationAbstract
INTRODUCTION: Conventional cerebral angiography is a commonly performed procedure in medicine. Vascular closure devices have been developed as alternatives to manual compression at the arteriotomy site and prolonged bed rest. The risks of using these devices include arterial dissection, groin hematoma, and device failure. Herein, we describe our experience with the use of a novel device used for arterial access and closure, the AXERA 2 Access System.
METHODS: A total of 13 patients underwent vascular access and closure with the AXERA 2 Access System.
RESULTS: Arterial access using the AXERA 2 Access System was achieved in 11 of 13 patients. Amongst the patients with successful access, one patient experienced a groin hematoma requiring manual compression and two patients suffered occlusions of the common femoral artery due to dissections, with both patients requiring femoral artery thromboendarterectomies.
CONCLUSIONS: This small series highlights a heretofore underreported serious complication rate of the AXERA 2 Access System. Additional studies are warranted to provide further insight into risk factors for device failure and complication development.
Author List
Grandhi R, Zwagerman NT, Zhang X, Chen SH, Jadhav AP, Jovin T, Jankowitz BTAuthor
Nathan Zwagerman MD Associate Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Cerebral Angiography
Female
Femoral Artery
Humans
Male
Middle Aged
Postoperative Complications
Vascular Closure Devices
Vascular Surgical Procedures
