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 -