Pre-close technique of percutaneous closure for delayed hemostasis of large-bore femoral sheaths

Publication Date

2018

Journal Title

J Interv Cardiol

Abstract

© 2018 Wiley Periodicals, Inc. Advancement of coronary interventions and portable hemodynamic device requires placement of large bore sheaths. Access for large caliber sheaths, its placement, maintenance, and hemostasis is very challenging and one of the key ailments for successful procedures. Traditional hemostasis method is manual compression, which is unattractive due to its own limitations and subsequent complications. Single closure device for sheath size larger than 8 French (Fr) is not available. We performed retrospective analysis of large cohort of patients with 13, 14 Fr sheaths (Impella device [ABIOMED]) percutaneous closure with the use of two Perclose devices. Two perclose devices were placed in a “Preclose” fashion and hemostasis was obtained few days later once hemodynamic support was weaned off by deployment of perclose sutures.

Volume Number

31

Issue Number

4

Pages

504 - 510

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Cardiology

PMID

29405431

DOI

10.1111/joic.12490

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