Active Versus Passive Anchoring Vascular Closure Devices Following Percutaneous Coronary Intervention: A Safety and Efficacy Comparative Analysis

Baker, Nevin C.; Escárcega, Ricardo O.; Lipinski, Michael J.; Magalhães, Marco A.; Koifman, Edward; Kiramijyan, Sarkis; Negi, Smita; Torguson, Rebecca; Waksman, Ron

doi:10.1111/joic.12264

Cited by 13 publications

(5 citation statements)

References 6 publications

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“…11 We reported a technical success rate of 97% (97/100), in both antegrade and retrograde cases. Compared to more established closure devices used in clinical practice, Angioseal technical success rates range from 69.2% to 98.7% [12][13][14][15] ; Starclose, 69.3-95.1% [14][15][16][17] ; and Proglide, 89.1-99.2%. [17][18][19] Mynx Control proved to be reliable in achieving haemostasis, especially in our high-risk cohort where we used the device immediately following completion of intended treatment, irrespective of the ACT.…”

Section: Discussionmentioning

confidence: 99%

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Safety and efficacy of the Mynx Control vascular closure device in peripheral arterial procedures: A prospective study

et al. 2021

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Objectives This article aims to present a prospective study investigating the safety and efficacy of the Mynx Control extravascular closure device (Cordis Corporation, FL, USA), for femoral arterial closure in patients undergoing peripheral arterial procedures. Methods Between January 2020 and February 2021, 100 Mynx Control devices were deployed in 91 consecutive patients (mean age: 67.5 ± 16.9 years) who underwent peripheral arterial procedures. We used ultrasound and/or fluoroscopy during Mynx Control deployment and ultrasound post-procedure to detect complications. Femoral artery punctures included 62 (62%) antegrade and 38 (38%) retrograde punctures. The mean activated clotting time at time of device deployment was 221s. The primary endpoints were technical success, device failure, and complication rates up to 30 days. Results A 5F vascular sheath was used in 43 cases (43%) (36 (36%) 6F and 21 (21%) 7F). The majority of our cases had antegrade access (62%). Overall technical success rate was 97% in both antegrade and retrograde cases. In total, there were 4 minor complications: 3 (3%) cases of pseudoaneurysm and 1 (1%) case of haematoma. No major complications were recorded post-procedure or 30 days post index procedure. Conclusion The Mynx Control vascular closure device is safe and effective in achieving haemostasis in patients undergoing antegrade and retrograde peripheral angioplasty procedures.

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Section: Discussionmentioning

confidence: 99%

“…Proglide had 1.5% minor and 0.7% major complications, compared to the 1.9% and 3.7% of Starclose. Baker, N et al 13 reported a haematoma rate of 1.9% following Angioseal use in patients undergoing percutaneous coronary intervention (PCI).…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of the Mynx Control vascular closure device in peripheral arterial procedures: A prospective study

et al. 2021

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“… 17 , 18 Transfemoral access site complications in noncoagulopathic patients is quoted at 3% for clinically significant hematoma and 2% risk of thrombotic complication. 19 Moreover, patients with elevated INR (>1.6) undergoing vascular interventions via transfemoral access have demonstrated significant retroperitoneal hematoma, requiring open surgical intervention in 2.4% of such patients. 20 Additionally, TRA provides the added technical advantage of ease of cannulation into a mesenteric artery owing to their sharp downward angulation.…”

Section: Discussionmentioning

confidence: 99%

Giant visceral artery pseudoaneurysm treated with endovascular transradial coil embolization

Shan

Trương

Tarabey

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Visceral artery pseudoaneurysms (PSAs) are relatively rare, and cases associated with distal vasculature of the superior mesenteric artery are largely unreported. Visceral artery PSAs, without intervention, can lead to morbidity or mortality from rupture or mesenteric ischemia. Historically, open aneurysmectomy is the gold standard; however, endovascular modalities have emerged as the first-line treatment in patients who are poor surgical candidates and/or have unfavorable anatomy. Herein, we describe a case of a symptomatic PSA of the distal superior mesenteric artery treated via the transradial approach with endovascular coil embolization, showing successful aneurysmal exclusion and preservation of enteric collateral flow.

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“…(2016) v analýze pacientů podstupujících perkutánní koronární intervenci (PCI) s použitím systémů Mynx a Angio-Seal zjistili, že bezpečnost a účinnost obou systémů je podobná u obou skupin. 2,22 Systém Prostar je určen k použití v kombinaci s pouzdry 8,5 Fr až 24 Fr, 23 proto by jeho použití v našem případě, kde byl zaveden 7Fr CŽK, nebylo vhodné. Navíc se jedná o systém založený na uzavření tepny pomocí stehů, které by vzhledem k anatomické lokalizaci nemusely být k použití vhodné podobně, jak bylo zmíněno výše u systému Perclose.…”

Section: Diskuseunclassified

(Percutaneous closure of iatrogenic injury of arteria)

Stehlíková¹,

Hajšl²,

Malý³

2020

Cor Vasa

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Neúmyslná katetrizace tepenného systému během zavádění centrálního žilního katétru je vzácnou, nicméně potenciálně závažnou komplikací. K punkci arteria subclavia při kanylaci stejnojmenné žíly může dojít v důsledku jejich vzájemných anatomických poměrů. Představujeme případ, kdy iatrogenní poranění této tepny bylo řešeno endovaskulární cestou za použití cévního uzavíracího systému Angio-Seal dosahujícího hemostázy mechanickými prostředky doplněnými koagulačními vlastnostmi kolagenu. Zdá se, že ve zkušených rukách se jedná o spolehlivou alternativu k invazivnímu chirurgickému řešení a může být život zachraňující metodou.

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Active Versus Passive Anchoring Vascular Closure Devices Following Percutaneous Coronary Intervention: A Safety and Efficacy Comparative Analysis

Abstract: AngioSeal and Mynx appear to be equally safe and efficacious VCDs following PCI. The passive anchoring system may prove desirable as no intra-arterial anchor remains upon device removal.

Cited by 13 publications

References 6 publications

Safety and efficacy of the Mynx Control vascular closure device in peripheral arterial procedures: A prospective study

Safety and efficacy of the Mynx Control vascular closure device in peripheral arterial procedures: A prospective study

Giant visceral artery pseudoaneurysm treated with endovascular transradial coil embolization

(Percutaneous closure of iatrogenic injury of arteria)

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