{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T08:10:37Z","timestamp":1786867837719,"version":"build-2736575974"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"Supplement_A","license":[{"start":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T00:00:00Z","timestamp":1616976000000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Abiomed Europe GmbH"},{"name":"Abiomed GmbH"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Even with current generation mechanical circulatory support (MCS) devices, vascular complications are still considerable risks in MCS that influence patients\u2019 recovery and survival. Hence, efforts are made to reduce vascular trauma and obtaining safe and adequate arterial access using state-of-the-art techniques is one of the most critical aspects for optimizing the outcomes and efficiency of percutaneous MCS. Femoral arterial access remains necessary for numerous large-bore access procedures and is most commonly used for MCS, whereas percutaneous axillary artery access is typically considered an alternative for the delivery of MCS, especially in patients with severe peripheral artery disease. This article will address the access, maintenance, closure and complication management of large-bore femoral access and concisely describe alternative access routes.<\/jats:p>","DOI":"10.1093\/eurheartj\/suab002","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T08:07:15Z","timestamp":1617005235000},"page":"A10-A14","source":"Crossref","is-referenced-by-count":12,"title":["Managing vascular access and closure for percutaneous mechanical circulatory support"],"prefix":"10.1093","volume":"23","author":[{"given":"Konstantinos","family":"Karatolios","sequence":"first","affiliation":[{"name":"Philipps University Marburg, Baldingerstrasse, 35032 Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Hunziker","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, University Hospital Basel, Petersgraben 5, 4031 Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Schibilsky","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herz- und Gef\u00e4\u00dfchirurgie, University Heartcenter Freiburg-Bad Krozingen, Hugstetter Stra\u03b2e 55, 79106, Freiburg, Germany"},{"name":"Faculty of Medicine, University Freiburg, Breisacher Str. 153, 79110 Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,3,27]]},"reference":[{"key":"2021070721255178300_suab002-B1","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1001\/jamacardio.2017.0265","article-title":"Mortality, length of stay, and cost implications of procedural bleeding after percutaneous interventions using large-bore catheters","volume":"2","author":"Redfors","year":"2017","journal-title":"JAMA Cardiol"},{"key":"2021070721255178300_suab002-B2","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1016\/j.jacc.2012.07.003","article-title":"Vascular complications after transcatheter aortic valve replacement: insights from the PARTNER (Placement of AoRTic TraNscathetER Valve) trial","volume":"60","author":"Genereux","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"2021070721255178300_suab002-B3","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1002\/ccd.27416","article-title":"Caliber and fitness of the axillary artery as a conduit for large-bore cardiovascular procedures","volume":"91","author":"Arnett","year":"2018","journal-title":"Catheter Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B4","first-page":"e009657","article-title":"Percutaneous axillary access for placement of microaxial ventricular support devices: the Axillary Access Registry to Monitor Safety (ARMS)","volume":"64","author":"McCabe","year":"2020","journal-title":"Circ Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B5","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1002\/ccd.20354","article-title":"Angiographic predictors of femoral access site complications: implication for planned percutaneous coronary intervention","volume":"65","author":"Sherev","year":"2005","journal-title":"Catheter Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B6","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.jcin.2010.04.015","article-title":"Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: FAUST (Femoral Arterial Access With Ultrasound Trial)","volume":"3","author":"Seto","year":"2010","journal-title":"JACC Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B7","doi-asserted-by":"crossref","first-page":"2233","DOI":"10.1016\/j.jcin.2017.08.058","article-title":"Contemporary arterial access in the cardiac catheterization laboratory","volume":"10","author":"Sandoval","year":"2017","journal-title":"JACC Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B8","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1002\/ccd.26727","article-title":"Defining the common femoral artery: insights from the femoral arterial access with ultrasound trial","volume":"89","author":"Seto","year":"2017","journal-title":"Catheter Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B9","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.jcin.2011.05.019","article-title":"Clinical outcomes using a new crossover balloon occlusion technique for percutaneous closure after transfemoral aortic valve implantation","volume":"4","author":"Genereux","year":"2011","journal-title":"JACC Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B10","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1002\/ccd.27595","article-title":"Impact of percutaneous femoral arteriotomy closure using the MANTATM device on vascular and bleeding complications after transcatheter aortic valve replacement","volume":"92","author":"De Palma","year":"2018","journal-title":"Catheter Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B11","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.jcin.2016.12.277","article-title":"Percutaneous plug-based arteriotomy closure device for large-bore access: a multicenter prospective study","volume":"10","author":"Van Mieghem","year":"2017","journal-title":"JACC Cardiovasc Interv"},{"key":"2021070721255178300_suab002-B12","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.4244\/EIJV10I12A242","article-title":"First-in-man assessment of the InSeal VCD, a novel closure device for large puncture accesses","volume":"10","author":"Kambara","year":"2015","journal-title":"EuroIntervention"},{"key":"2021070721255178300_suab002-B13","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1111\/joic.12571","article-title":"Access and closure management of large bore femoral arterial access","volume":"31","author":"Kaki","year":"2018","journal-title":"J Interv Cardiol"}],"container-title":["European Heart Journal Supplements"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/eurheartjsupp\/article-pdf\/23\/Supplement_A\/A10\/36782118\/suab002.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/eurheartjsupp\/article-pdf\/23\/Supplement_A\/A10\/36782118\/suab002.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T22:45:13Z","timestamp":1625697913000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurheartjsupp\/article\/23\/Supplement_A\/A10\/6199266"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,1]]},"references-count":13,"journal-issue":{"issue":"Supplement_A","published-online":{"date-parts":[[2021,3,27]]},"published-print":{"date-parts":[[2021,3,27]]}},"URL":"https:\/\/doi.org\/10.1093\/eurheartj\/suab002","relation":{},"ISSN":["1520-765X","1554-2815"],"issn-type":[{"value":"1520-765X","type":"print"},{"value":"1554-2815","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,3,1]]},"published":{"date-parts":[[2021,3,1]]}}}