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Adjunctive technique for the use of ProGlide vascular closure device to improve hemostasis

Courtney L Furlough1, Sapan S Desai1, Ali Azizzadeh1

  • 1Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston; and the Memorial Hermann Heart and Vascular Institute, Houston, Tex.

Journal of Vascular Surgery
|October 6, 2014
PubMed

Insights

This study presents a novel technique using the Perclose ProGlide device to enhance femoral artery closure. The method improves hemostasis by creating a tourniquet and allows for direct prothrombotic agent delivery if needed.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • The Perclose ProGlide device is used for closing femoral artery access sites.
  • Achieving adequate hemostasis can sometimes be challenging.

Purpose of the Study:

  • To describe an adjunctive technique to improve hemostasis with the Perclose ProGlide device.
  • To provide a method for direct administration of prothrombotic agents if needed.

Main Methods:

  • A hollow tube is placed over the suture tails of the Perclose ProGlide device.
  • A hemostat secures the tubes, creating a Rummel-style tourniquet to compress the arteriotomy.
  • The tubes can also serve as a conduit for prothrombotic agents.

Main Results:

  • The technique effectively compresses the arteriotomy site.
  • Improved hemostasis was observed.
  • The method offers a dual function for hemostasis and agent delivery.

Conclusions:

  • This adjunctive technique enhances the efficacy of the Perclose ProGlide device for femoral artery closure.
  • The described method offers a simple and effective solution for improving hemostasis.
  • It provides a potential pathway for targeted prothrombotic agent administration.

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