Triple-wire: a variation of the "Preclose" technique.

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Medical Device Technology

Background:

• The Preclose technique is a standard method for achieving hemostasis after femoral artery access.
• Existing variations may have limitations in suture pattern or control.
• Percutaneous closure devices aim to reduce complications and improve patient outcomes.

Purpose of the Study:

• To describe a technical modification of the Preclose technique using the Proglide device.
• To evaluate the efficacy and safety of this modified technique for femoral artery closure.
• To compare the modified technique with previously described methods.

Main Methods:

• A modified Preclose technique was developed using the Proglide device to create longitudinal interrupted sutures.
• The technique was applied to 19 patients undergoing procedures requiring femoral artery access.
• Hemostasis was assessed post-procedure, and operative time, technical demands, and material costs were considered.

Main Results:

• Satisfactory hemostasis was achieved in 17 out of 19 (89.5%) femoral arteries treated.
• The modified technique resulted in a percutaneous longitudinal interrupted suture closely resembling a surgical suture.
• The technique added minimal operative time, no significant technical demands, and no substantial material cost.

Conclusions:

• This modified Preclose technique offers a safe and effective alternative for percutaneous femoral artery closure.
• The longitudinal interrupted suture pattern provides enhanced control over suture placement and proximal bleeding.
• The technique is cost-effective and minimally increases procedural complexity, making it a valuable option for clinicians.