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A Novel Technique for Augmented Hemostasis After Perclose Deployment: Tamponade on Perclose-Hemostasis Augmentation
Khansa Ahmad1, Sahoor A Khan2, Gautam Gadey2
1Boston Medical Center Brighton, Boston, Massachusetts, USA.
Background:
With the advent of advanced structural procedures and circulatory devices, large-bore access has become increasingly common. However, vascular access site complications present serious prognostic risks. While suture-based and collagen-based devices have been described for vascular closure, these techniques require maintenance of wire access.
Aims And Methods:
We present a novel technique for achieving hemostasis once wire access has been lost and the perclose (standard suture-based device) has been deployed, utilizing a collagen plug; Tamponade On Perclose; Hemostasis Augmentation Technique (TOPHAT).
Results And Conclusion:
We have utilized this technique at a single center with multiple users at different levels of expertise without any complications to date.
