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

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.