Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery

Tom J R De Potter; Chiara Valeriano; Finn Akerstrom; Salvatore Cassese; Malcolm Finlay; Dhiraj Gupta; Josef Kautzner; Antonio Miceli; Sotirios Nedios; Katarzyna Malaczynska-Rajpold; Hemanth Ramanna; Flavio Ribichini; Philipp Sommer; Roland Tilz; Jorge Toquero Ramos; Stylianos Tzeis; Alireza Sepehri Shamloo; Claudio Tondo; Borislav Dinov; Ignacio Fernández-Lozano; Piotr Kulakowski; Luigi Di Biase; Francesco Burzotta; Roman Gottardi

doi:10.1093/europace/euaf115

Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery

Tom J R De Potter
, Chiara Valeriano
, Finn Akerstrom
, Salvatore Cassese
, Malcolm Finlay
, Dhiraj Gupta
, Josef Kautzner
, Antonio Miceli
, Sotirios Nedios
, Katarzyna Malaczynska-Rajpold
, Hemanth Ramanna
, Flavio Ribichini
, Philipp Sommer
, Roland Tilz
, Jorge Toquero Ramos
, Stylianos Tzeis
, Alireza Sepehri Shamloo
, Claudio Tondo
, Borislav Dinov
, Ignacio Fernández-Lozano

Piotr Kulakowski, Luigi Di Biase, Francesco Burzotta, Roman Gottardi

IRCCS Istituto Clinico Humanitas - Rozzano (Milano)
Karolinska Institutet
Technical University of Munich
Queen Mary University of London
University of Liverpool
Liverpool Heart and Chest Hospital NHS Foundation Trust
Institute for Clinical and Experimental Medicine
Fresenius AG
East and North Hertfordshire NHS Trust
Royal Brompton Hospital
The Hague University of Applied Sciences
Haga Ziekenhuis
University of Verona
Ruhr University Bochum
German Centre for Cardiovascular Research
Universitätsklinikum Schleswig-Holstein Campus Lübeck
Puerta de Hierro University Hospital
Deutsches Herzzentrum Berlin
University of Milan
Universitätsklinikum Giessen und Marburg, Standort Giessen
Albert Einstein College of Medicine
University of Freiburg

Research output: Contribution to journal › Article

Abstract

A standardized step-by-step approach to vascular access during electrophysiological procedures: Begin by identifying patients at higher risk for vas-cular complications and consider alternative access routes in cases of inferior vena cava interruption. Allow the patient to drink clear fluids and adopt an uninterrupted anticoagulation strategy when feasible. Choose the access site based on procedural needs and patient anatomy, giving preference to ultrasound-guided puncture to improve accuracy and reduce complications. At the end of the procedure, select the most appropriate closure technique - manual compression, figure-of-eight suture, or a vascular closure device - based on access site, sheath size, and patient-specific factors.

Original language	English
Pages (from-to)	N/A-N/A
Journal	Europace
Volume	27
Issue number	10
DOIs	https://doi.org/10.1093/europace/euaf115
Publication status	Published - 2025

All Science Journal Classification (ASJC) codes

Cardiology and Cardiovascular Medicine
Physiology (medical)

Keywords

Electrophysiology procedures
Ultrasound-guided access
Vascular access
Vascular closure

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10.1093/europace/euaf115

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De Potter, T. J. R., Valeriano, C., Akerstrom, F., Cassese, S., Finlay, M., Gupta, D., Kautzner, J., Miceli, A., Nedios, S., Malaczynska-Rajpold, K., Ramanna, H., Ribichini, F., Sommer, P., Tilz, R., Toquero Ramos, J., Tzeis, S., Sepehri Shamloo, A., Tondo, C., Dinov, B., ... Gottardi, R. (2025). Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery. Europace, 27(10), N/A-N/A. https://doi.org/10.1093/europace/euaf115

De Potter, Tom J R ; Valeriano, Chiara ; Akerstrom, Finn et al. / Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery. In: Europace. 2025 ; Vol. 27, No. 10. pp. N/A-N/A.

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title = "Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery",

abstract = "A standardized step-by-step approach to vascular access during electrophysiological procedures: Begin by identifying patients at higher risk for vas-cular complications and consider alternative access routes in cases of inferior vena cava interruption. Allow the patient to drink clear fluids and adopt an uninterrupted anticoagulation strategy when feasible. Choose the access site based on procedural needs and patient anatomy, giving preference to ultrasound-guided puncture to improve accuracy and reduce complications. At the end of the procedure, select the most appropriate closure technique - manual compression, figure-of-eight suture, or a vascular closure device - based on access site, sheath size, and patient-specific factors.",

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year = "2025",

doi = "10.1093/europace/euaf115",

language = "English",

volume = "27",

pages = "N/A--N/A",

journal = "Europace",

issn = "1099-5129",

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De Potter, TJR, Valeriano, C, Akerstrom, F, Cassese, S, Finlay, M, Gupta, D, Kautzner, J, Miceli, A, Nedios, S, Malaczynska-Rajpold, K, Ramanna, H, Ribichini, F, Sommer, P, Tilz, R, Toquero Ramos, J, Tzeis, S, Sepehri Shamloo, A, Tondo, C, Dinov, B, Fernández-Lozano, I, Kulakowski, P, Di Biase, L, Burzotta, F & Gottardi, R 2025, 'Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery', Europace, vol. 27, no. 10, pp. N/A-N/A. https://doi.org/10.1093/europace/euaf115

Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery. / De Potter, Tom J R; Valeriano, Chiara; Akerstrom, Finn et al.
In: Europace, Vol. 27, No. 10, 2025, p. N/A-N/A.

Research output: Contribution to journal › Article

TY - JOUR

T1 - Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery

AU - De Potter, Tom J R

AU - Valeriano, Chiara

AU - Akerstrom, Finn

AU - Cassese, Salvatore

AU - Finlay, Malcolm

AU - Gupta, Dhiraj

AU - Kautzner, Josef

AU - Miceli, Antonio

AU - Nedios, Sotirios

AU - Malaczynska-Rajpold, Katarzyna

AU - Ramanna, Hemanth

AU - Ribichini, Flavio

AU - Sommer, Philipp

AU - Tilz, Roland

AU - Toquero Ramos, Jorge

AU - Tzeis, Stylianos

AU - Sepehri Shamloo, Alireza

AU - Tondo, Claudio

AU - Dinov, Borislav

AU - Fernández-Lozano, Ignacio

AU - Kulakowski, Piotr

AU - Di Biase, Luigi

AU - Burzotta, Francesco

AU - Gottardi, Roman

PY - 2025

Y1 - 2025

N2 - A standardized step-by-step approach to vascular access during electrophysiological procedures: Begin by identifying patients at higher risk for vas-cular complications and consider alternative access routes in cases of inferior vena cava interruption. Allow the patient to drink clear fluids and adopt an uninterrupted anticoagulation strategy when feasible. Choose the access site based on procedural needs and patient anatomy, giving preference to ultrasound-guided puncture to improve accuracy and reduce complications. At the end of the procedure, select the most appropriate closure technique - manual compression, figure-of-eight suture, or a vascular closure device - based on access site, sheath size, and patient-specific factors.

AB - A standardized step-by-step approach to vascular access during electrophysiological procedures: Begin by identifying patients at higher risk for vas-cular complications and consider alternative access routes in cases of inferior vena cava interruption. Allow the patient to drink clear fluids and adopt an uninterrupted anticoagulation strategy when feasible. Choose the access site based on procedural needs and patient anatomy, giving preference to ultrasound-guided puncture to improve accuracy and reduce complications. At the end of the procedure, select the most appropriate closure technique - manual compression, figure-of-eight suture, or a vascular closure device - based on access site, sheath size, and patient-specific factors.

KW - Electrophysiology procedures

KW - Ultrasound-guided access

KW - Vascular access

KW - Vascular closure

KW - Electrophysiology procedures

KW - Ultrasound-guided access

KW - Vascular access

KW - Vascular closure

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U2 - 10.1093/europace/euaf115

DO - 10.1093/europace/euaf115

M3 - Article

SN - 1099-5129

VL - 27

SP - N/A-N/A

JO - Europace

JF - Europace

IS - 10

ER -

De Potter TJR, Valeriano C, Akerstrom F, Cassese S, Finlay M, Gupta D et al. Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery. Europace. 2025;27(10):N/A-N/A. doi: 10.1093/europace/euaf115

Vascular access and closure management for electrophysiological interventions in 2025: a Clinical Consensus Statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions of the ESC, and the ESC Working Group on Cardiovascular Surgery

Abstract

All Science Journal Classification (ASJC) codes

Keywords

Access to Document

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