Venous Access Site Closures Using the VASCADE Vascular Closure System

This single-center, retrospective study describes using the VASCADE Vascular Closure System (Cardiva Medical, Inc, Santa Clara, California) to close 32 venous access sites in 21 consecutive patients (11 females; 10 males; age 45 y ± 19) after catheter-directed interventions. Sheath sizes were 5-10 F (8.7 F ± 1.7). Hemostasis was achieved in 30 of 32 deployments (93.8%). Complications were observed after 6 of 32 procedures, including 5 minor events in 4 patients and 1 major event in 1 patient which was likely unrelated to device deployment. The VASCADE device efficaciously closes venotomies after deep venous procedures, but further studies comparing it with manual compression are required to define its optimal use.