{"id":"https://openalex.org/W7223683347","doi":"https://doi.org/10.3400/avd.oa.26-00118","title":"Anatomical Risk Factors for Technical Failure of the Perclose Vascular Closure Device: A Single-Center Retrospective Study","display_name":"Anatomical Risk Factors for Technical Failure of the Perclose Vascular Closure Device: A Single-Center Retrospective Study","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7223683347","doi":"https://doi.org/10.3400/avd.oa.26-00118","pmid":"https://pubmed.ncbi.nlm.nih.gov/42969012","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13724158"},"language":"en","primary_location":{"id":"doi:10.3400/avd.oa.26-00118","doi":"https://doi.org/10.3400/avd.oa.26-00118","is_oa":true,"landing_page_url":"https://doi.org/10.3400/avd.oa.26-00118","pdf_url":"https://www.jstage.jst.go.jp/article/avd/19/1/19_oa.26-00118/_pdf","source":{"id":"https://openalex.org/S56890723","display_name":"Annals of Vascular Diseases","issn_l":"1881-641X","issn":["1881-641X","1881-6428"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-3"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Vascular Diseases","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.jstage.jst.go.jp/article/avd/19/1/19_oa.26-00118/_pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5158577017","display_name":"Hirofumi Jinno","orcid":"https://orcid.org/0009-0007-8616-1495","observed_orcids":["https://orcid.org/0009-0007-8616-1495"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hirofumi Jinno","raw_affiliation_strings":["Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081130988","display_name":"Shinsuke Kikuchi","orcid":"https://orcid.org/0000-0002-5314-1603","observed_orcids":["https://orcid.org/0000-0002-5314-1603"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Shinsuke Kikuchi","raw_affiliation_strings":["Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":"https://orcid.org/0000-0002-5314-1603","affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075941129","display_name":"Tsutomu Doita","orcid":"https://orcid.org/0000-0002-9942-4705","observed_orcids":["https://orcid.org/0000-0002-9942-4705"]},"institutions":[{"id":"https://openalex.org/I4210155576","display_name":"Osaka University Hospital","ror":"https://ror.org/05rnn8t74","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210155576","https://openalex.org/I98285908"]},{"id":"https://openalex.org/I98285908","display_name":"The University of Osaka","ror":"https://ror.org/035t8zc32","country_code":"JP","type":"education","lineage":["https://openalex.org/I98285908"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tsutomu Doita","raw_affiliation_strings":["Department of Cardiovascular Surgery, Osaka University, Suita, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Osaka University, Suita, Osaka, Japan","institution_ids":["https://openalex.org/I4210155576","https://openalex.org/I98285908"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159681619","display_name":"Izumi Fukii","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Izumi Fukii","raw_affiliation_strings":["Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137629866","display_name":"Kyokei Fuchizawa","orcid":"https://orcid.org/0009-0009-7996-9298","observed_orcids":["https://orcid.org/0009-0009-7996-9298"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kyokei Fuchizawa","raw_affiliation_strings":["Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049381901","display_name":"Takayuki Uramoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takayuki Uramoto","raw_affiliation_strings":["Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037811057","display_name":"Seima Ohira","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Seima Ohira","raw_affiliation_strings":["Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000676978","display_name":"Keisuke Kamada","orcid":"https://orcid.org/0009-0008-5070-4272","observed_orcids":["https://orcid.org/0009-0008-5070-4272","https://orcid.org/0000-0001-7034-4376"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Keisuke Kamada","raw_affiliation_strings":["Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021796324","display_name":"Naoya Kuriyama","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Naoya Kuriyama","raw_affiliation_strings":["Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040624287","display_name":"Nobuyoshi Azuma","orcid":"https://orcid.org/0000-0003-2247-9860","observed_orcids":["https://orcid.org/0000-0003-2247-9860"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Nobuyoshi Azuma","raw_affiliation_strings":["Department of Chronic Limb-Threatening Ischemia Research, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Chronic Limb-Threatening Ischemia Research, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]},{"raw_affiliation_string":"Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan","institution_ids":["https://openalex.org/I147809708"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5081130988"],"corresponding_institution_ids":["https://openalex.org/I147809708"],"apc_list":{"value":30000,"currency":"JPY","value_usd":226},"apc_paid":{"value":30000,"currency":"JPY","value_usd":226},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83408983,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"1","first_page":"n/a","last_page":"n/a"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/technical-failure","display_name":"technical failure","score":0.8040000200271606},{"id":"https://openalex.org/keywords/femoral-artery-diameter","display_name":"femoral artery diameter","score":0.7139999866485596},{"id":"https://openalex.org/keywords/femoral-artery-calcification","display_name":"femoral artery calcification","score":0.859000027179718},{"id":"https://openalex.org/keywords/puncture-depth","display_name":"puncture depth","score":0.9620000123977661},{"id":"https://openalex.org/keywords/emergency-vascular-access","display_name":"emergency vascular access","score":0.5960000157356262},{"id":"https://openalex.org/keywords/endovascular-aortic-repair","display_name":"endovascular aortic repair","score":0.9319999814033508},{"id":"https://openalex.org/keywords/endovascular-treatment","display_name":"endovascular treatment","score":0.7139999866485596},{"id":"https://openalex.org/keywords/surgical-cutdown","display_name":"surgical cutdown","score":0.6729999780654907}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9528999924659729},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7818999886512756},{"id":"https://openalex.org/C146834321","wikidata":"https://www.wikidata.org/wiki/Q2979672","display_name":"Closure (psychology)","level":2,"score":0.6876000165939331},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6229000091552734},{"id":"https://openalex.org/C2779495589","wikidata":"https://www.wikidata.org/wiki/Q7916451","display_name":"Vascular closure device","level":3,"score":0.3450999855995178},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2678000032901764},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.2506999969482422},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.24490000307559967},{"id":"https://openalex.org/C2993873987","wikidata":"https://www.wikidata.org/wiki/Q184753","display_name":"Wound closure","level":3,"score":0.2231999933719635},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.21899999678134918}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.3400/avd.oa.26-00118","doi":"https://doi.org/10.3400/avd.oa.26-00118","is_oa":true,"landing_page_url":"https://doi.org/10.3400/avd.oa.26-00118","pdf_url":"https://www.jstage.jst.go.jp/article/avd/19/1/19_oa.26-00118/_pdf","source":{"id":"https://openalex.org/S56890723","display_name":"Annals of Vascular Diseases","issn_l":"1881-641X","issn":["1881-641X","1881-6428"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-3"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Vascular Diseases","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13724158","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724158/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724158/pdf/avd-19-1-26-00118.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ann Vasc Dis","raw_type":"Text"},{"id":"pmid:42969012","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42969012","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of vascular diseases","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.3400/avd.oa.26-00118","doi":"https://doi.org/10.3400/avd.oa.26-00118","is_oa":true,"landing_page_url":"https://doi.org/10.3400/avd.oa.26-00118","pdf_url":"https://www.jstage.jst.go.jp/article/avd/19/1/19_oa.26-00118/_pdf","source":{"id":"https://openalex.org/S56890723","display_name":"Annals of Vascular Diseases","issn_l":"1881-641X","issn":["1881-641X","1881-6428"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-3"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Vascular Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320312276","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223683347.pdf","grobid_xml":"https://content.openalex.org/works/W7223683347.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2048744248","https://openalex.org/W4280518865","https://openalex.org/W2005360814","https://openalex.org/W6962245067","https://openalex.org/W2742930191","https://openalex.org/W2110828116","https://openalex.org/W2040794014","https://openalex.org/W2039460651","https://openalex.org/W2197237640","https://openalex.org/W4403909098"],"abstract_inverted_index":{"Objectives:":[0],"Percutaneous":[1],"large-bore":[2],"femoral":[3,44],"closure":[4,188],"with":[5,76],"the":[6,38,42,77,154,157],"Perclose":[7,39],"device":[8,40],"is":[9,185],"widely":[10],"used,":[11],"but":[12],"technical":[13,24,95],"failure":[14,68,72,96,163],"remains":[15],"clinically":[16],"important.":[17],"We":[18,27],"identified":[19,83],"anatomical":[20],"risk":[21],"factors":[22],"for":[23],"failure.":[25],"Methods:":[26],"retrospectively":[28],"analyzed":[29],"endovascular":[30,34],"aortic":[31],"repair":[32],"and":[33,50,62,143,174],"therapy":[35],"procedures":[36],"using":[37,84],"at":[41],"common":[43],"artery":[45],"(CFA)":[46],"between":[47],"April":[48],"2020":[49],"March":[51],"2025.":[52],"Preoperative":[53],"computed":[54],"tomography":[55],"(CT)":[56],"measured":[57],"CFA":[58,135,168],"diameter,":[59,173],"puncture":[60,146,177],"depth,":[61],"a":[63,111,133,144,171,175],"calcification":[64,113],"score":[65,114],"(0-4).":[66],"Technical":[67,162],"was":[69,159,164],"defined":[70],"as":[71],"to":[73],"achieve":[74],"hemostasis":[75],"intended":[78],"deployment.":[79],"Independent":[80,108],"predictors":[81,109],"were":[82,110],"patient-clustered":[85],"generalized":[86],"estimating":[87],"equations.":[88],"Results:":[89],"Among":[90],"300":[91],"patients":[92],"(485":[93],"limbs),":[94],"occurred":[97],"in":[98,195],"52":[99],"limbs":[100],"(10.7%),":[101],"of":[102],"which":[103],"75.0%":[104],"required":[105],"surgical":[106,190],"repair.":[107],"higher":[112],"(odds":[115],"ratio":[116],"[OR]":[117],"2.13":[118],"per":[119,139,150],"1-point":[120],"increase;":[121],"95%":[122],"confidence":[123],"interval":[124],"[CI]":[125],"1.37-3.31),":[126],"an":[127],"emergency":[128,180],"procedure":[129],"(OR":[130,137,148],"3.77;":[131],"1.55-9.14),":[132],"smaller":[134],"diameter":[136],"1.16":[138],"1-mm":[140],"decrease;":[141,152],"1.01-1.32),":[142],"shallower":[145],"depth":[147],"1.22":[149],"5-mm":[151],"1.01-1.47);":[153],"area":[155],"under":[156],"curve":[158],"0.72.":[160],"Conclusions:":[161],"driven":[165],"by":[166,179],"unfavorable":[167,196],"anatomy-heavy":[169],"calcification,":[170],"small":[172],"shallow":[176],"depth-and":[178],"procedures.":[181],"Preprocedural":[182],"imaging":[183],"assessment":[184],"essential;":[186],"alternative":[187],"or":[189,197],"cutdown":[191],"should":[192],"be":[193],"considered":[194],"emergent":[198],"cases.":[199]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-27T00:00:00"}
