Cardiovascular and Interventional Radiological Society of Europe
CIRSE Academy coursesArterial Intervention - online coursesVascular access and closure – online course

Vascular access and closure – online course

55 | 25(for CIRSE members)


Authors: T. Jahnke and S. Müller-Hülsbeck

Reviewers: M. Deutschmann, L. Kamper, A. Krajina, C. Nice and H. van Overhagen



Both vascular groin access and management of puncture site after arterial vascular interventional procedures often remain a challenge, while this step may prolong the entire procedure dramatically. Manual compression of the puncture site at groin level with compressing bandage is still a widespread golden standard. Using a vascular closure device increases safety of percutaneous access management, makes follow-up easier and enhances patient comfort by reducing the time of immobilisation. Whereas, using a vascular closure device causes additional costs. This module gives an overview of established vascular access techniques and vascular closure devices and describes their pros and cons as well as device-related complications. This module focuses on groin access, since the majority of vascular closure devices is limited for closing the common femoral artery. After completing this module, the reader will be able to identify the options for arterial access as well as the role of currently available arterial closure devices.


Learning Objectives

  • Understand the bony and soft tissue anatomy of arterial punctures sites and recognise their importance in avoiding complications of arterial puncture when accessing:
    • The common femoral artery
    • The brachial artery
    • The radial or ulnar artery
    • The popliteal artery
    • The pedal arteries
    • The axillary artery
    • The common carotid artery
  • Develop ability to plan optimal vascular access
  • Achieve technical competence of puncture site management
  • Achieve technical competence in the performance of vascular closure devices
  • Understand the working principles of different vascular closure devices
  • Understand the techniques for so-called vascular pre-closure


Further Information

This course covers a basic level of IR knowledge and is designed for trainees, students or young consultants aiming to acquire essential knowledge or prepare for the EBIR exam. Thereby, it is tailored to the EBIR curriculum and corresponds to chapter Peripheral Arterial Disease.

The format of the course is easy to use and interactive by including texts, graphics, videos and a quiz to support your learning. The course duration is around one hour and is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to award 1 European CME credit (ECMEC).

Upon purchase, access to complete and revisit the course is granted for an enrolment period of 90 days. The certificate of completion will be available beyond the enrolment period in the new myCIRSE area.

Release date: November 2018