A randomized trial comparing compression, perclose proglide. The abbott perclose proglide suturemediated closure system provides a suture for vascular closure of 5 21 french femoral artery access sites. Hemostasis of vascular closure device angioseal versus perclose article in journal of clinical rehabilitative tissue engineering research 1222. Our online catalog consists of more than 1500 various categories of the stages of medical care and medical discipline. May 03, 2014 active vascular closure devices the cardiva catalyst cardiva medical, inc. Mitral clip a clip to remember info and recovery guide. Perclose proglide suturemediated closure smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 1 and has no reaccess restrictions this system has the broadest arterial and venous indication.
Ambulation was allowed 3 hr after perclose proglide or angioseal vip and 6 hr after compression. The electrophysiologists eps performing atrial fibrillation ablations may choose the perclose proglide suturemediated closure smc system for greater efficiency in the ep lab. Prostar xl percutaneous vascular surgical system indications for use the prostar xl pvs system is indicated for the percutaneous delivery of sutures for closing the common femoral artery access site and reducing the time to hemostasis and time to ambulation patient walks ten feet of patients who have undergone catheterization procedures. Vascular closure devices vcds were introduced in the early 1990s with the goal of limiting the time, labor, bed rest and patient discomfort associated with mc. Pdf use of a perclose proglide device for percutaneous. The removal of arterial cannulas using a perclose device abbott vascular, clonmel, tipperary, ireland has not been reported in patients undergoing venoarterial extracorporeal membrane oxygenation ecmo. Perclose proglide suturemediated closure smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 1 and has no reaccess restrictions. For sheath sizes greater than 8f, at least two devices and the preclose technique are required. There are no reaccess restrictions if previous arteriotomy repairs were achieved with abbott vascular smc devices. A randomized trial comparing compression, perclose. The smc procedure is performed by introducing the smc device through the opening in the femoral artery. This device provides suture for vascular closure of 58f femoral artery access sites. Perclose proglide suturemediated closure system fda approval.
Closure devices are widely used in femoral access cardiovascular procedures for early ambulation and potential morbidity reduction. Device description the perclose proglide suturemediated closure smc system is designed to deliver a single monofilament polypropylene suture to close femoral artery puncture sites following diagnostic or interventional catheterization procedures. In selected patients, the use of suturemediated closure devices smcds is associated with a satisfactory success rate and lower incidence of accessrelated complications when compared with surgical femoral. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free. Vascular closure devices aid closure of large access sites. A total of 559 proglide devices were used to close 279 femoral arteries. Perclose definition of perclose by the free dictionary. It is approved for the closure of 5 french to 8 french sheaths using a single perclose device with the standard technique and larger sheaths. The mynx device leads to rapid hemostasis and ambulation, but additional studies are needed to confirm its safety. This study evaluated the safety and efficacy of total percutaneous endovascular aortic aneurysm repair pevar with a single perclose proglide device abbot vascular, santa clara, calif compared with endovascular aortic repair with surgical cutdown sevar. The device is designed to deliver a single suture stitch to close the.
Abbott has gained fda approval for its perclose proglide suturemediated closure system. To evaluate the feasibility and safety of the suturemediated proglide device in closure of the brachial artery after endovascular. First, regardless of the desire to use a closure device, appropriate anatomy at the access site is essential for optimal success with vcds. Prostar xl percutaneous vascular surgical system abbott. Femoral vessel suture implantation set a collection of sterile, handoperated instruments designed for the percutaneous delivery of sutures to close a femoral artery or vein puncture site following a catheterization procedure. Adjunctive technique for the use of proglide vascular. The proglide knot was applied to the soft tissue instead of the vessel wall figure 6. Sep, 20 the abbott perclose proglide suturemediated closure system provides a suture for vascular closure of 5 21 french femoral artery access sites.
With monofilament suture, the proglide knot easily advances to the opening in the artery, allowing a single operator to rapidly deliver a pretied knot to close the access site in the femoral artery following a. Jul 01, 2011 the first device was inserted at 45 to the common femoral artery, and the sutures were deployed with a 45 medial orientation fig. Among vascular closure devices, perclose proglide closure can offer benefits for the ep lab including. Percutaneous removal using perclose proglide closure. The device is designed to close access sites created by large bore catheters, stopping the blood flow.
This perclose proglide smc device is composed of a plunger, handle, guide, and sheath. Perclose proglide safe and effective for evartevar procedures. This closure device uses a polyester pretied suture knot to close an arteriotomy site after cardiovascular procedures. One of the biggest concerns regarding impella use is the ability to manage largebore access and possibility of closure device failure. Perclose proglide suturemediated closure system provides the security of suture for vascular closure of 5f 21f femoral artery access sites. Ultrasoundguided percutaneous arterial puncture and. Total percutaneous cardiopulmonary bypass with perclose. Perclose proglide smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 3 and has no reaccess restrictions this system has the broadest arterial and venous indication. Review of vascular closure devices cath lab digest. A novel technique for impella removal from nonpreclosed. During closure of access sites using a 5 8f procedural sheath, use manual compression in the event that bleeding from the femoral access site persists after the use of the perclose proglide smc device. In open repair, the arteriotomy wound was found to be too large to accommodate the foot of the proglide. Passive vcds enhance hemostasis with prothrombotic material or mechanical compression, but do not achieve prompt hemostasis or. The perclose proglide smc system is indicated for the percutaneous delivery of suture for closing the common femoral artery and vein access site of patients who have undergone diagnostic or interventional catheterization procedures.
Using the angioseal vascular closure device duration. Pty lmt, melbourne, australia, the second device was introduced over the wire, again at a 45 angle to the femoral artery. Pdf 24h and 30 day outcome of perclose proglide suture. There have been no head to head trials comparing these most commonly used arterial closure devices following pci.
The smc device allows the physician to put one or two stitches in the femoral artery to close the opening. To study the 24h and 30 day outcome of perclose proglide smc retrospectively. Videos of the abbott vascular perclose proglide suture. If significant blood flow is present around the perclose proglide smc device, do not deploy needles. The perclose proglide suturemediated closure system abbott vascular, redwood city, ca, usa could be an attractive alternative for brachial artery closure based on use of the precursor 6f perclose device abbott vascular devices after coronary interventions in two small series. Perclose proglide 6f suturemediated closure smc system. Perclose proglide suturemediated closure system abbott. Do not deploy the perclose proglide smc device at an angle greater than 45 degrees as this may cause a cuff miss. Abbotts perclose proglide vascular closure device, which offers percutaneous suturemediated closure, has the broadest indicationfor both femoral arterial. The advantages of vascular closure devices are better patient comfort, less stress on staff, less nursing time for postprocedure monitoring, shorter time for haemostasis, early ambulation and early hospital discharge. Mar 08, 2019 accessgudid perclose proglide 08717648089 perclose proglide 6f suturemedicated closure system. Abbott perclose proglide suturemediated closure system. The second proglide is applied through guidewire exchange, and rotated to roughly 2 oclock position, that is making a 90 degrees angle with the first proglide.
We describe an adjunctive technique for the use of the proglide vascular closure device to improve hemostasis. Perclosetm proglide closure device to securely close the femoral vein accessed by your doctor to perform the mitral clip procedure and prevent bleeding, a device. The percutaneous technique used two proglide devices abbott vascular by direct puncture of an arterial cannula at the time of weaning off. Perclose proglide vascular close device surgery video. Total percutaneous cardiopulmonary bypass with perclose proglide.
To describe a technique for access site closure in percutaneous abdominal aortic aneurysm aaa repair using double perclose proglide devices to overcome the problems associated with the bulky delivery system and braided suture of the antecedent prostar device. A postclose technique for femoral hemostasis after percutaneous. You can argue that even if the results were equivalent to two proglide devices, theres the easeofuse factor. This video describe the skills to use the perclose proglide in safe mode during the aortic procedures.
Our technique is a simple way to overcome these concerns and access the non preclosed largebore arterial access, resulting in successful closure with a perclose proglide device. Cumulative sum analysis of the learning curve for the. According to the manufacturer, the device maintains vascular access throughout deployment and has flexibility to preclose and close over the wire. Suturemediated closure for both femoral arterial and venous access sites. Use of a perclose proglide device for percutaneous endovascular aortic aneurysm repair in a general hospital experience. Oct 26, 2019 the perclose proglide was inserted through a 0. No published indian data exist regarding perclose proglide suture mediated vascular closure device smc. The perclose proglide abbott vascular, santa clara, calif is indicated for the closure of 5f to 21f femoral artery access sites.
The manta vcd contains an 8f puncture location dilator, a dedicated sheath, a closure unit, and a delivery system. Jan 01, 2008 time to ambulation was shorter with angioseal vip than with perclose proglide 261 vs. Learn more about the enhanced efficacy of the proglide systems, which may be attributed to inherent design and characteristics of this closure device. Adjunctive technique for the use of proglide vascular closure device. This included a theoretical depiction of both the puncture and the closure techniques, as well as an instructional video and demonstration on the model. Consult the vascular closure devices for access site closure with abbott vascular proglide. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free to browse, learn, share and discuss all for free. Access site management with vascular closure devices for. After routine use of the device, a hollow tube cut from the injection port of an introducer sheath is placed over the free tails of suture. The perclose proglide suturemediated closure system is composed of a plunger, handle, guidewire, and sheath. Perclose proglide suture vascular closure systems, ask. Perclose proglide closure for ep ablation procedures.
This device delivers a monofilament polypropylene suture with automated knot creation. Percutaneous removal using perclose proglide closure devices versus surgical removal for weaning after percutaneous cannulation for venoarterial extracorporeal membrane oxygenation. Percutaneous decannulation instead of surgical removal for w. By releasing the second device, two crossed sutures are formed which, according to our previous experience, lead to a secure closure of the vessel. Perclose closure device breakage and embolization during. Next, the guidewire must be reinserted into the side hole of the first proglide device to place a second proglide device at about 1 to 2 o. Perclose proglide smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 1 and has no reaccess restrictions. Two perclose proglide devices were generally used per access site, although the number could vary depending on the experience of the operator and the specific condition of the patient.
To report early experience using a vascular closure device following endovascular aortic aneurysmal. Hemostasis of vascular closure device angioseal versus. Oct 27, 2009 in the randomized trial comparing compression, perclose proglide and angioseal vasoactive intestinal peptide vip for arterial closure after pci trial, there was a significant higher risk of vcd failure with suturebased device compared with collagen plugbased device 15. P device nor the angiography performed to guide the closure is separately payable. Jun 10, 2010 the decision to use a closure device and which closure device to use is influenced by several factors, including the experience and confidence of the operator in device use.
A stopped pilot study of the proglide closure device after. After securing the suture with surgistrips surgisuppliers int. The proglide is used after the insertion of large bore catheters in catheterisation procedures in the femoral vein or artery. Percutaneous removal using perclose proglide closure devices. The perclose closure devices are designed to close femoral artery puncture sites following diagnostic or interventional procedures.
Aug 18, 2016 proglide perclose vasular closure device shekar reddy thumma. Illustration of described sheathtourniquet assembly. We investigated the procedural outcomes and complications of percutaneous device closure vs surgical repair for hemostatic control of the arterial access site in weaning from venoarterial ecmo. The vendor says for sheath sizes greater than 8 french, at least two devices and the preclose technique are required. Participants received instructions by 2 tutors on how to perform ultrasound guided percutaneous puncture and closure using the proglide device. View large image view hires image download powerpoint slide. The traditional method to deploy a proglide suturemediated closure device during largebore vessel closure involves placing a long 0. We describe, along with a technical video, the use of a plugbased vascular closure device, namely the. Safety and utility of total percutaneous endovascular aortic. Figure s1 a video showing pre closure assessment, the closure technique and the post closure assessment 2. Jan 07, 2017 proglide perclose vascular closure device duration. How the perclose proglide closure device affects ep labs.
The mynx is indicated for interventional and diagnostic procedures and, in addition to the 67. The percutaneous manta vascular closure device vcd essential medical inc. This channel includes news and new technology innovations for vascular closure devices used to rapidly seal and achive hemostatsis at vascular access sites in interventional cardiology procedures. Percutaneous femoral arterial access with a largesize sheath 1225 fr has been described by different authors in the setting of endovascular aneurysm repair. Total percutaneous endovascular repair of abdominal aortic.
Proglide could not catch the arteriotomy wound despite multiple attempts. Delay in ambulation was higher with perclose proglide than with angioseal vip 18 vs. Perclose proglide suturemediated closure system abbot vascular. Surgery theater, with more than 12,000 educational surgery videos, is the worlds first online social medical video sharing for all health care professionals. Perclose suture mediated closure technique youtube. During closure of arteriotomy sites using a 5f8f procedural sheath, use manual compression in the event that bleeding from the femoral access site persists after the use of the perclose proglide smc device. Abbott used the perclose proglide smc and perclose prostar xl suture mediated closure devices in this study. This system has the broadest arterial and venous indication. The second proglide can be fired after position confirmation by ultrasound. Two hundred patients undergoing pci were randomized to manual compression, perclose proglide or angioseal vip.
I prefer the proglide, even though you need two of them to close. The stitches delivered by the smc device are the same as those used over several years in blood vessels and other surgical procedures. During closure of access sites using a procedural sheath 8f, in the event that bleeding from the femoral access site persists after. The technique involved deployment of two proglide devices before insertion of the sheath preclose technique with the sutures left extracorporeally for closure after conclusion of the procedure. In this video, the authors demonstrate the perclose suture mediated closure technique for closure of the femoral artery after transcatheter. Wood said he believes the single manta device is a gamechanger with the potential to become the default closure device given its simplicity, particularly when compared with other largebore closure systems. Rating is available when the video has been rented. In this video, the authors demonstrate the perclose suture mediated closure technique for closure of the femoral artery after transcatheter aortic valve replacement. Abbott vascular conducted this clinical trial in collaboration with endologix, inc. In the randomized trial comparing compression, perclose proglide and angioseal vip for arterial closure following percutaneous coronary intervention cap trial, there was a significant higher risk of vcd failure with suture based device compared to collagen plug based device 15. Following percutaneous using an ulp device here the ovation prime system, trivascular.
1119 960 1634 801 1094 814 753 1449 487 1502 1261 1207 436 505 1298 1361 248 1585 747 1093 1399 1154 1157 807 1483 657 463 271 94 375 865 477 143 1567 37 1077 1406 60 108 1173 164 1167 347 587 1374