{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:37:07Z","timestamp":1777937827135,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T00:00:00Z","timestamp":1619568000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      This retrospective study investigates the efficacy and safety of the novel Celt ACD\n                      <jats:sup>\u00ae<\/jats:sup>\n                      vascular closure device (VCD) following antegrade and retrograde common femoral artery (CFA) punctures for the treatment of peripheral artery disease in a challenging patient collective (e.g. calcifications, obesity, and anticoagulation).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 208 VCDs (i.e. 100 antegrade and 108 retrograde) were deployed between October 2019 and December 2020 in a tertiary referral interventional radiology department. Fifty-two devices were undersized in relation to the introducer sheath (up to 2\u2009Fr). Technical success and VCD related complications were evaluated in the immediate post procedure period and the following 24\u2009h clinically. In 68% of cases, additional duplex ultrasound was performed prior to discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The overall technical success rate was 97%. Technical failures following antegrade approach were due to a too acute access angle (\u2a7e60\u00b0), rendering it impossible to pass the applicator tip through the sheath lumen. A subgroup analysis of technical success pinpoints severe calcification as another key limiting factor in VCD use ( p\u2009=\u20090.004). Comparing equally sized with undersized device selection ( p\u2009=\u20090.196), direction of approach ( p\u2009=\u20090.265), and body mass index ( p\u2009=\u20090.184) proved to be insignificant. Five (2%, 5\/208) major complications occurred: Four antegrade (i.e. one false aneurysm, one vessel laceration with retroperitoneal hemorrhage, two device migrations; 4%, 4\/100) and one following retrograde access (i.e. &gt;6\u2009cm hematoma, 1%, 1\/108)). Complications were successfully managed with manual compression or interventional procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The novel clip-based VCD proved to be effective with a low VCD related complication rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298211012829","type":"journal-article","created":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T08:08:15Z","timestamp":1619597295000},"page":"778-787","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["A novel double clip-based vascular closure device in antegrade and retrograde femoral punctures: A single-center experience in peripheral non-cardiac procedures"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5557-6563","authenticated-orcid":false,"given":"Annette","family":"Thurner","sequence":"first","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Wuerzburg, Wuerzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjana","family":"Heuer","sequence":"additional","affiliation":[{"name":"Protestant Amalie Sieveking Hospital, Internal Medicine, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Marie","family":"Augustin","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Wuerzburg, Wuerzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Gietzen","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Wuerzburg, Wuerzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten A","family":"Bley","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Wuerzburg, Wuerzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph","family":"Kickuth","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Wuerzburg, Wuerzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,28]]},"reference":[{"key":"bibr1-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-010-9981-0"},{"key":"bibr2-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.05.019"},{"issue":"12","key":"bibr3-11297298211012829","first-page":"599","volume":"22","author":"Schwartz BG","year":"2010","journal-title":"J Invasive Cardiol"},{"key":"bibr4-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12046"},{"key":"bibr5-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27360"},{"key":"bibr6-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26991"},{"key":"bibr7-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.08.133"},{"issue":"9","key":"bibr8-11297298211012829","first-page":"E102","volume":"15","author":"Walker C","year":"2018","journal-title":"Vasc Dis Manage"},{"issue":"9","key":"bibr9-11297298211012829","volume":"15","author":"Parikh S.","year":"2018","journal-title":"Vasc Dis Manage"},{"key":"bibr10-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.01.052"},{"key":"bibr11-11297298211012829","doi-asserted-by":"publisher","DOI":"10.5152\/dir.2016.15614"},{"key":"bibr12-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.03.420"},{"key":"bibr13-11297298211012829","unstructured":"Instructions for use. Celt ACD\n                      \u00ae\n                      Vascular closure Device. Vasorum Ltd., Dublin, Ireland. IFU-TS-002 Rev14 (SCR130), pp. 2\u201310."},{"key":"bibr14-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70045-4"},{"issue":"9","key":"bibr15-11297298211012829","volume":"14","author":"Sacks D","year":"2003","journal-title":"J Vasc Interv Radiol"},{"key":"bibr16-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1186\/s42155-018-0013-5"},{"key":"bibr17-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25229"},{"key":"bibr18-11297298211012829","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.925575"},{"key":"bibr19-11297298211012829","doi-asserted-by":"publisher","DOI":"10.1583\/09-2873.1"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298211012829","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298211012829","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298211012829","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:18:18Z","timestamp":1777691898000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298211012829"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,28]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1177\/11297298211012829"],"URL":"https:\/\/doi.org\/10.1177\/11297298211012829","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,28]]}}}