“To close or not to close?” When should vascular closure devices be used after cardiac catheterization procedures?

Key Points

• Vascular closure devices (VCD) appear to be safe when compared to manual compression or surgical closure.
• VCDs’ main advantage seems to stem from lower time to hemostasis (TTH) and time to mobilization.
• In anticoagulated patients with 6-Fr femoral sheaths, the new Celt ACT VCD, which uses a stainless-steel permanent implant, seems to be safe and decreases TTH when compared to manual pressure.

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