A novel technique for postclosure of large-bore sheaths using two Perclose devices
Charles H Choi1, James Kevin Hall1, Diego Malaver1
1Section of Cardiovascular Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Wake Forest Baptist Health, Winston Salem, North Carolina.
Summary
A new percutaneous technique using two Perclose ProGlide devices offers a safe and effective method for closing large arterial sheaths. This approach ensures hemostasis with no reported vascular complications in patients.
Area of Science:
- Cardiovascular Interventions
- Vascular Surgery
- Percutaneous Procedures
Background:
- Closing large-bore arteriotomies after sheath removal can be challenging.
- The Perclose system may struggle to capture adequate tissue for closure.
Purpose of the Study:
- To evaluate the feasibility, efficacy, and safety of a novel percutaneous postprocedure closure technique.
- To assess the use of two Perclose ProGlide devices for large arterial sheath removal.
Main Methods:
- Single-center retrospective analysis of 22 patients.
- Utilized a postclosure technique for 12-16-Fr sheaths.
- Assessed technical success, hemostasis, and VARC-2 defined vascular complications at 30 days.
Main Results:
- 100% technical success rate achieved with the postclosure technique.
- No postprocedural bleeding or vascular complications were observed.
- Favorable early outcomes were noted in all patients.
Conclusions:
- The postclosure technique is a safe and highly effective percutaneous method for achieving hemostasis in large arteriotomies.
- This technique demonstrates low rates of major bleeding and vascular complications.
- The method offers favorable early outcomes for patients requiring large-bore sheath closure.
