Registered Cardiovascular Invasive Specialist (RCIS) Practice Test

Which of the following is a contraindication for closure devices?

1. PVD

2. Diabetes

3. Cannulation above the inguinal fold

4. All of the above

The correct answer is: All of the above

A contraindication for closure devices refers to a condition or situation that makes the use of such devices inadvisable due to the potential for complications or inadequate effectiveness. Peripheral vascular disease (PVD) can affect blood flow in the limbs, thereby impacting the healing process and increasing the risk of complications when using closure devices. Diabetes can similarly pose risks due to potential impaired wound healing and increased susceptibility to infection. Cannulation above the inguinal fold is specifically relevant because it may create challenges in access and closure, increasing the likelihood of complications. Therefore, the presence of any of these conditions – PVD, diabetes, or cannulation above the inguinal fold – makes the use of closure devices inadvisable, as they could lead to suboptimal outcomes or complications. Hence, considering these factors collectively highlights the comprehensive nature of the contraindication for closure devices.