{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:06:14Z","timestamp":1778864774066,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T00:00:00Z","timestamp":1632441600000},"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 Endovasc Ther"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      Percutaneous mechanical circulatory support (pMCS) with the Impella\n                      <jats:sup>\u00ae<\/jats:sup>\n                      device is routinely used in cardiogenic shock and high risk percutaneous coronary interventions (PCI). However, safety and feasibility to close the large bore access (LBA) post-hoc remain a challenge.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      In patients with planned termination of Impella therapy, corresponding LBA closure was attempted using an undersized AngioSeal\n                      <jats:sup>\u00ae<\/jats:sup>\n                      device, which was deployed after insertion of a 0.035\u2009in J-wire through the guidewire access port. Cross-over angiographic visualization before and after deployment as well as in-hospital follow up were performed to assess closure success and screening for short-term adverse events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We evaluated 17 patients (68\u2009year old, IQR 58\u201376, 71% male) in whom 14\u2009F LBA closure after pMCS using the Impella CP\n                      <jats:sup>\u00ae<\/jats:sup>\n                      was achieved with an undersized AngioSeal\n                      <jats:sup>\u00ae<\/jats:sup>\n                      device. Clinical indication for pMCS was cardiogenic shock in 94% and protected PCI in 6%. Impella CP\n                      <jats:sup>\u00ae<\/jats:sup>\n                      devices were withdrawn after a median of 4\u2009days (IQR 3\u20136\u2009days). Primary hemostasis was achieved in the majority of patients (14\/17; 82%) while single cross-over balloon inflation led to hemostasis in the remaining patients. One patient suffered acute ischemia later in the course of the disease, but this was not directly related to the closure device. In this study, no major bleeding or other device-related adverse events were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      The 8\u2009F AngioSeal\n                      <jats:sup>\u00ae<\/jats:sup>\n                      vascular closure device has been safely used for removal of the Impella CP\n                      <jats:sup>\u00ae<\/jats:sup>\n                      microaxial pump in most cases of predominantly normal weight patients. This technique may be considered feasible for post-hoc LBA closure in the context of pMCS, especially when preclosure options are not suitable or unavailable.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028211047965","type":"journal-article","created":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T02:01:30Z","timestamp":1632535290000},"page":"336-342","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Feasibility and Safety of an 8\u2009F Angioseal\n                    <sup>\u00ae<\/sup>\n                    Vascular Closure Device for Closure of Large Bore Impella CP\n                    <sup>\u00ae<\/sup>\n                    Access"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6363-4049","authenticated-orcid":false,"given":"Christian F.","family":"Zachoval","sequence":"first","affiliation":[{"name":"Medizinische Klinik und Poliklinik II, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Sedaghat","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik II, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Oezkur","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Herzchirurgie, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vedat","family":"Tiyerili","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik II, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc U.","family":"Becher","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik II, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan-Malte","family":"Sinning","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik II, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik","family":"Treede","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Herzchirurgie, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Nickenig","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik II, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Zimmer","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik II, Herzzentrum, Universit\u00e4tsklinikum Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,24]]},"reference":[{"key":"bibr1-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-017-1182-2"},{"key":"bibr2-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28307"},{"key":"bibr3-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehp292"},{"key":"bibr4-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.098194"},{"key":"bibr5-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2017.0265"},{"key":"bibr6-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.05.019"},{"key":"bibr7-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.003834"},{"key":"bibr8-15266028211047965","doi-asserted-by":"crossref","unstructured":"Mehran R, Rao SV, Bhatt DL, et al. Standardized Bleeding Definitions for Cardiovascular Clinical Trials: A Consensus Report From the Bleeding Academic Research Consortium. Lippincott Williams & Wilkins; 2011:2736\u20132747.","DOI":"10.1161\/CIRCULATIONAHA.110.009449"},{"key":"bibr9-15266028211047965","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV8I7A121"},{"key":"bibr10-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.036614"},{"key":"bibr11-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.03.041"},{"key":"bibr12-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2016.09.012"},{"key":"bibr13-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1598252"},{"key":"bibr14-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12490"},{"key":"bibr15-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2010.10.008"},{"key":"bibr16-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.06.049"},{"key":"bibr17-15266028211047965","doi-asserted-by":"publisher","DOI":"10.1583\/12-3881.1"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028211047965","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15266028211047965","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028211047965","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:34:10Z","timestamp":1777498450000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15266028211047965"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,24]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1177\/15266028211047965"],"URL":"https:\/\/doi.org\/10.1177\/15266028211047965","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,24]]}}}