Total percutaneous cardiopulmonary bypass with Perclose ProGlide

Area of Science:

• Cardiovascular Surgery
• Vascular Surgery
• Medical Devices

Background:

• Suture-mediated closure devices offer an alternative to femoral cutdown for endovascular aortic procedures.
• The preclose technique, using multiple devices before cannulation, allows percutaneous access with large sheaths (up to 24 Fr).
• Percutaneous access is associated with a lower rate of groin complications.

Purpose of the Study:

• To evaluate the application of the preclose technique for establishing total percutaneous cardiopulmonary bypass (CPB).
• To assess the feasibility of using suture-mediated closure devices for large-bore arterial access in cardiac procedures.

Main Methods:

• A series of 12 patients undergoing cardiac procedures requiring femoral cannulation for CPB were included.
• The Perclose ProGlide device was used for arterial access.
• Total percutaneous CPB was established using the preclose technique.

Main Results:

• Successful total percutaneous CPB was achieved in all 12 patients.
• The Perclose ProGlide facilitated large-bore arterial access for CPB.
• The preclose technique enabled percutaneous cannulation for cardiac procedures.

Conclusions:

• Total percutaneous CPB can be successfully established using suture-mediated closure devices for arterial access.
• The preclose technique is a viable option for large-bore femoral cannulation in cardiac surgery.
• This approach offers a potential reduction in groin complications compared to traditional methods.