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Percutaneous suture closure for brachial artery puncture
Albert Kim1, Benjamin Fusman, Neeraj Jolly
1Hans Hecht Hemodynamics Laboratory, Pritzker School of Medicine, University of Chicago Hospital, Chicago, Illinois, USA.
Journal of Interventional Cardiology
|September 20, 2002
Summary
Percutaneous suture closure using the Perclose Techstar XL device effectively achieves hemostasis at brachial artery puncture sites in most patients, including those on anticoagulation. Obesity may be a factor in successful application for brachial artery closure.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Percutaneous suture closure offers immediate hemostasis for arterial access sites.
- The Perclose Techstar XL device is a novel tool for achieving hemostasis.
- Brachial artery access is utilized for various diagnostic and therapeutic catheterizations.
Purpose of the Study:
- To evaluate the efficacy and safety of the Perclose Techstar XL 6Fr suture closure device for brachial artery hemostasis.
- To assess the applicability of this device in managing brachial artery puncture sites post-catheterization.
Main Methods:
- Ten procedures were performed on eight patients using the Perclose Techstar XL 6Fr device for brachial artery hemostasis.
- Both 6Fr and 7Fr sheaths were employed during the procedures.
- Hemostasis was monitored post-catheterization.
Main Results:
- Successful hemostasis was achieved in nine out of ten procedures (90%).
- One patient required surgical repair due to failed hemostasis.
- The device demonstrated utility in selected patients for brachial artery puncture site management.
Conclusions:
- The Perclose Techstar XL device is a viable option for brachial artery hemostasis in select patients.
- The device's large foot excursion may limit its applicability in smaller arteries like the brachial artery.
- Obese patients may be particularly well-suited for this percutaneous closure method.