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

Risultato della ricerca: Contributo in rivista › Articolo

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.

Lingua originale	Inglese
pagine (da-a)	N/A-N/A
Rivista	Europace
Volume	27
Numero di pubblicazione	10
DOI	https://doi.org/10.1093/europace/euaf115
Stato di pubblicazione	Pubblicato - 2025

All Science Journal Classification (ASJC) codes

Cardiologia e Medicina Cardiovascolare
Fisiologia (medica)

Keywords

Electrophysiology procedures
Ultrasound-guided access
Vascular access
Vascular closure

Accesso al documento

10.1093/europace/euaf115

Altri file e collegamenti

Fingerprint

Entra nei temi di ricerca di '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'. Insieme formano una fingerprint unica.

Cita questo

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, N. 10. pagg. N/A-N/A.

@article{2a363003b1494e53ba10e3e145dc8529,

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.",

keywords = "Electrophysiology procedures, Ultrasound-guided access, Vascular access, Vascular closure, Electrophysiology procedures, Ultrasound-guided access, Vascular access, Vascular closure",

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

year = "2025",

doi = "10.1093/europace/euaf115",

language = "English",

volume = "27",

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

journal = "Europace",

issn = "1099-5129",

publisher = "Oxford University Press",

number = "10",

}

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, n. 10, pagg. 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, N. 10, 2025, pag. N/A-N/A.

Risultato della ricerca: Contributo in rivista › Articolo

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

UR - https://publicatt.unicatt.it/handle/10807/324799

UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=105019729644&origin=inward

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=105019729644&origin=inward

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