I surmise your vascular surgeon would mainly be dealing with complications from our cardiac interventional and structural colleagues who use arterial access —they are a completely different mob from us ( tongue in cheek). Electrophysiologists mainly use venous access, so we generally just pull sheaths out—no need for closure devices such as Perclose or Angioseal because veins are low-pressure vessels. But yes I do use Perclose for leadless pacemakers for Fr 28 femoral venous access and left-sided VT ablations if using femoral arterial access.
As I also said cardiac tamponade is very rare, I never say never, I might have my first one related to a flutter ablation next week. A big worry if it happens because patients are on blood thinners.
Our patients are provided written procedural info sheets and reliable online resources (including patient support groups) prior to their pre-procedure appointments to facilitate an informed discussion instead of turning to Dr Google.
