[Vascular closure following electrophysiological procedures-a practical guide].

Abstract

The proposed introduction of outpatient electrophysiological procedures challenges physicians with the task of safely discharging patients after only a few hours of monitoring. Despite the widely established use of ultrasound-guided vascular access in many centers, access-site complications remain the most common complications associated with electrophysiological interventions. Modern vascular closure devices have made postprocedural care safer and more comfortable. Nevertheless, the traditional Z‑suture continues to play an important role, particularly in cases of individual anatomical challenges or as a fallback option in the event of device failure. The choice of the closure method should always be made on an individual basis, taking into account vascular access, patient safety, available resources, and physician expertise. This review article focuses on techniques and systems for the periprocedural management of vascular access in electrophysiology.