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. 2025 May;26(3):1076-1078.
doi: 10.1177/11297298241254255. Epub 2024 Jun 1.

Letter to the Editor re: "Systematic review and meta-analysis comparing Manta device and Perclose device for closure of large bore arterial access." J Vasc Access. 2024 Jan 8:11297298231222314

Angela Di Giorgio  1 , Claudia Carnuccio  1   2 , Antonio Nesci  1 , Alessia D'Alessandro  1 , Angelo Santoliquido  1   2
Affiliations

Letter to the Editor re: "Systematic review and meta-analysis comparing Manta device and Perclose device for closure of large bore arterial access." J Vasc Access. 2024 Jan 8:11297298231222314

Angela Di Giorgio et al. J Vasc Access. 2025 May.
No abstract available

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Ultrasound evaluation of large bore closure devices’ vascular complications. Common femoral artery (CFA)’s transverse (a) and longitudinal (b) ultrasound (B-mode) images showing MANTA’s normal ultrasound characteristics (a double-layered bright structure in the lumen formed by the poly-lactate toggle, and a perivascular hypoechogenic area corresponding to the collagen placement). Longitudinal ultrasound image (B-mode) (c) showing MANTA displacement leading to partial obstructive CFA thrombosis and hemodynamic stenosis on color Doppler ultrasound (d). Transverse (e) and longitudinal (f) ultrasound (B-mode) images showing no significant abnormalities of the CFA vessel wall in correspondence with Perclose, except for a hypoechoic shadow in the surrounding tissue, compatible with the introducer track. In presence of vessel diffuse atherosclerosis and vascular calcifications, the use of Perclose has resulted in a CFA dissection, with a visible intimal flap (highlighted in the image by cursors) (g) and acceleration of blood flow at this level on the color Doppler ultrasound image (h).
See this image and copyright information in PMC

References

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