{
    "abstract": "Vascular access site complications are the most frequent complications of percutaneous catheter ablation (CA) of ventricular arrhythmias (VAs). Whether arterial/venous vascular closure devices (VCDs) prevent vascular complications is unknown.\nWe investigated the benefit of VCDs in patients undergoing CA of VAs.\nConsecutive CA of VAs were included (2018-2022). Vascular accesses were obtained with ultrasound guidance. At the discretion of the operator, arterial and/or venous VCDs were used. Cases were divided into 3 groups: no use of VCDs for any arterial/venous accesses (manual compression [MC]), use of VCDs for some but not all accesses (Partial-VCDs), and use of VCDs for all accesses (Complete-VCDs). Vascular complications were classified as minor if they did not require intervention or major if they required intervention.\nA total of 1016 procedures were performed in 872 patients (mean age 62 \u00b1 13 years; mean body mass index 30 \u00b1 6 kg/m\nIn patients undergoing CA of VAs, Complete-VCD is associated with lower rates of vascular-related complications compared with MC or Partial-VCD.",
    "authors": [
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Chadi",
            "initials": "C",
            "lastname": "Tabaja"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Nolan",
            "initials": "N",
            "lastname": "Hight"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Arwa",
            "initials": "A",
            "lastname": "Younis"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Shada",
            "initials": "S",
            "lastname": "Jadam"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Joe",
            "initials": "J",
            "lastname": "Demian"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Ayman",
            "initials": "A",
            "lastname": "Hussein"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Jakub",
            "initials": "J",
            "lastname": "Sroubek"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Walid",
            "initials": "W",
            "lastname": "Saliba"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Mohamed",
            "initials": "M",
            "lastname": "Kanj"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Mandeep",
            "initials": "M",
            "lastname": "Bhargava"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Bryan",
            "initials": "B",
            "lastname": "Baranowski"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Thomas",
            "initials": "T",
            "lastname": "Callahan"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Mina",
            "initials": "M",
            "lastname": "Chung"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Thomas",
            "initials": "T",
            "lastname": "Dresing"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Justin",
            "initials": "J",
            "lastname": "Lee"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Koji",
            "initials": "K",
            "lastname": "Higuchi"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Ioan",
            "initials": "I",
            "lastname": "Liuba"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "David",
            "initials": "D",
            "lastname": "Martin"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Shady",
            "initials": "S",
            "lastname": "Nakhla"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "John",
            "initials": "J",
            "lastname": "Rickard"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Niraj",
            "initials": "N",
            "lastname": "Varma"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Tyler",
            "initials": "T",
            "lastname": "Taigen"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.",
            "firstname": "Oussama",
            "initials": "O",
            "lastname": "Wazni"
        },
        {
            "affiliation": "Cardiac Electrophysiology Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio. Electronic address: santanp3@ccf.org.",
            "firstname": "Pasquale",
            "initials": "P",
            "lastname": "Santangeli"
        }
    ],
    "conclusions": "In patients undergoing CA of VAs, Complete-VCD is associated with lower rates of vascular-related complications compared with MC or Partial-VCD.",
    "copyrights": "Copyright \u00a9 2024 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.",
    "doi": "10.1016/j.hrthm.2024.09.001",
    "journal": "Heart rhythm",
    "keywords": [
        "Catheter ablation",
        "Outcomes",
        "Vascular access closure",
        "Vascular complications",
        "Ventricular arrhythmias"
    ],
    "methods": null,
    "publication_date": "2024-09-09",
    "pubmed_id": "39245246\n24958396\n21699857\n25740963\n25684120\n10953101\n18098171\n32999089\n32049071\n27433795\n23585239\n38135568\n28449770\n33063926\n20031773",
    "results": "A total of 1016 procedures were performed in 872 patients (mean age 62 \u00b1 13 years; mean body mass index 30 \u00b1 6 kg/m",
    "title": "Vascular access complications after catheter ablation of ventricular arrhythmias: Impact of vascular closure devices.",
    "xml": "<Element 'PubmedArticle' at 0x788502c0dcb0>"
}