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Closure of large percutaneous access sites using the Prostar XL Percutaneous Vascular Surgery device
P C Haas1, Z Krajcer, E B Diethrich
1Department of Cardiology, Texas Heart Institute and St. Luke's Episcopal Hospital, Houston, USA.
Purpose:
To report early experience using a vascular closure device following endovascular aortic aneurysmal repair in which large-bore sheaths are used.
Technique:
A 10F Prostar XL Percutaneous Vascular Surgery device is used to deploy sutures around sheath entry sites up to 16F. At the completion of the procedure, the sutures are tied with a sliding knot to ensure adequate hemostasis.
Conclusions:
Maintaining the minimal invasiveness of the percutaneous approach to aortic endografting reduces patient discomfort and permits earlier ambulation and hospital discharge. Initial success seems to be maintained at 1 month, however, longer follow-up will be required.