Title
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
DOI
10.1111/joic.12490