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Control of Femoral Cannulation with a ProGlide Pre-Closure Device during Cardiac Surgery: Is It Reliable?
Chang Hun Kim1, Min Ho Ju1, Mi Hee Lim1
1Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Medical Research Institute, Pusan National University School of Medicine, Yangsan, Korea.
Insights
ProGlide closure devices are safe and effective for percutaneous femoral cannulation in adult cardiac surgery. This vascular closure technique offers a viable alternative for patients needing femoral vessel access.
Area of Science:
- Cardiovascular Surgery
- Vascular Access
- Medical Devices
Background:
- The efficacy of ProGlide as a percutaneous vascular closure device in cardiac surgery requires further investigation.
- This study aimed to assess the clinical outcomes of ProGlide use in femoral vessel cannulation during adult cardiac surgery.
Purpose of the Study:
- To evaluate the safety and feasibility of ProGlide for percutaneous femoral vessel cannulation in adult cardiac surgery.
- To determine the clinical outcomes and complication rates associated with this vascular closure technique.
Main Methods:
- A prospective study involving 118 adult cardiac surgery patients who underwent percutaneous femoral cannulation using ProGlide.
- Preoperative computed tomography assessed femoral artery accessibility, and sonography guided cannulation.
- Postoperative ankle-brachial index (ABI) measured femoral artery stenosis.
Main Results:
- A high technical success rate of 99.2% was achieved with ProGlide.
- No significant delayed bleeding or cannulation site complications occurred during hospitalization.
- Only one patient developed femoral artery stenosis requiring intervention; postoperative ABI showed no significant difference between sides.
Conclusions:
- Percutaneous femoral cannulation with ProGlide is a safe and feasible method in adult cardiac surgery.
- This technique presents a promising alternative for patients requiring femoral vessel access during cardiac procedures.
Background:
The use of ProGlide as a percutaneous vascular closure device in cardiac surgery remains inconclusive. This study investigated the clinical outcomes of using Pro- Glide in the percutaneous cannulation of femoral vessels in adult cardiac surgery.
Methods:
From September 2017 to July 2018, 131 consecutive patients underwent femoral vessel cannulation during cardiac surgery. The ProGlide (Abbott Vascular Inc., Santa Clara, CA, USA) with percutaneous cannulation was used in 118 patients (mean age, 55.7±15.5 years). The accessibility of femoral cannulation was evaluated through preoperative computed tomography. For cannulation, sonography was routinely used. The postoperative ankle-brachial index (ABI) was used to evaluate femoral artery stenosis.
Results:
Of the 118 patients, 112 (94.9%) and 6 (5.1%) underwent minimally invasive cardiac surgery and median sternotomy, respectively. Most femoral cannulations were performed on the right side (98.3%) using 15F to 19F arterial cannulas. The technical success rate of cannulation with ProGlide was 99.2%, with no delayed bleeding or cannulation site-related complications during hospitalization. During follow-up, only 1 patient showed femoral artery stenosis with claudication and was treated with interventional balloon angioplasty. The postoperative ABI revealed no significant difference in functional stenosis between the cannulation and non-cannulation sides (n=86; cannulation vs. non-cannulation, 1.2±0.1 vs. 1.1±0).
Conclusion:
Percutaneous femoral cannulation with ProGlide was safe and feasible in adult cardiac surgery. This technique may be a good alternative option in patients requiring femoral vessel cannulation for cardiac surgery.
