'Double wire' angio-seal closure technique after balloon aortic valvuloplasty
| Autor: | Quang T. Bui, Amr Bannan, Howard C. Herrmann, Daniel M. Kolansky |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous medicine.medical_treatment Hemorrhage Femoral artery Punctures Balloon Severity of Illness Index Catheterization medicine.artery medicine Humans Radiology Nuclear Medicine and imaging Vascular closure device Aged Aged 80 and over Percutaneous aortic valve replacement business.industry Hemostatic Techniques General Medicine Aortic Valve Stenosis Equipment Design medicine.disease Aortic valvuloplasty Surgery Femoral Artery Treatment Outcome Hemostasis Aortic valve stenosis Feasibility Studies Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 75(4) |
| ISSN: | 1522-726X |
| Popis: | Objectives: To report the feasibility of a collagen-mediated closure device using a modified Angio-Seal closure technique for access site management following percutaneous balloon aortic valvuloplasty (BAV). Background: With the advent of percutaneous aortic valve replacement therapies, there has been a resurgence of interest in BAV procedures. Vascular complications, including bleeding, are a common source of morbidity post procedure as a result of the requirement for large bore femoral artery access. The use of vascular closure devices may reduce bleeding complications. Methods: We describe a new technique for vascular closure in this setting. At the conclusion of the valvuloplasty procedure, two 0.035″ wires are inserted through the femoral artery sheath. A conventional collagen-mediated closure device (8F Angio-Seal) is deployed over the first wire and along side the second wire. If immediate hemostasis is not achieved, a second device is loaded onto the second wire and deployed to achieve hemostasis. Results: Percutaneous BAV was performed in 21 patients. Hemostasis was successfully achieved in all patients with either a single 8F Angio-Seal closure device (18 patients) or after placement of a second device (three patients). Conclusions: The modified “Double Wire” Angio-Seal technique is a feasible method for hemostasis following percutaneous BAV. © 2009 Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text