Management of Femoral Large-Bore Access and Closure During Microaxial Flow Pump-Supported Interventions - Takeaways - MDSpire

Management of Femoral Large-Bore Access and Closure During Microaxial Flow Pump-Supported Interventions

  • By

  • Vergallo, Rocco

  • Lombardi, Marco

  • Macchione, Andrea

  • Pescetelli, Fabio

  • Benenati, Stefano

  • Vercellino, Matteo

  • Secco, Gioel Gabrio

  • Gonzalo, Nieves

  • Escaned, Javier

  • Porto, Italo

  • April 29, 2026

  • 0 min

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  • 1

    Microaxial flow pumps are used for hemodynamic assistance in cardiogenic shock and high-risk percutaneous coronary interventions.

  • 2

    Large-bore arterial access for mAFP implantation increases the risk of vascular complications, impacting morbidity and mortality.

  • 3

    Ultrasound and angiography-guided puncture techniques enhance the safety of femoral access during procedures.

  • 4

    Pre-closure methods are recommended for high-risk PCI patients, while post-closure methods are essential for cardiogenic shock patients.

  • 5

    The review provides a practical approach for managing femoral access and closure in patients receiving mechanical circulatory support.

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