A Single Center Study of ProGlide Used for Closure of Large-Bore Puncture Holes After EVAR for AAA

Mathisen, Sven R.; Nilsson, Kristofer F.; Larzon, Thomas

doi:10.1177/15385744211022654

Cited by 6 publications

(2 citation statements)

References 27 publications

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“…However, this was achieved with the additional application of the AngioSeal closure device. The authors recorded 31 complications in 837 groins (3.7%) [11]. They suggest that the low primary success rates may be a result of various physicians during the application of the device and the absence of ultrasound-guided puncture during the early stages of the study [11].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Approach in Endovascular Aortic Procedures Using a Suture-Mediated Closure Device

Oikonomou

Kvataia

Pfister

et al. 2022

JCM

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Background: The purpose of this study is to assess the efficacy of a suture-mediated closure device during percutaneous endovascular aortic repair. Methods: A single-center, retrospective analysis of patients undergoing endovascular repair for infrarenal, thoracic and thoracoabdominal aortic aneurysms and aortic dissections via percutaneous femoral access between April 2017 and June 2021 was performed. The primary endpoint of the study was the efficacy and technical success of the Perclose ProGlide closure device during percutaneous endovascular procedures. The secondary endpoints were intraoperative and postoperative inguinal and vascular complications during and after device use. Results: A total of 376 punctures were performed in 263 patients with the deployment of the ProGlide vascular closure system. Twenty-two cases involved percutaneous re-puncture as part of a staged procedure. The primary and secondary technical success rates were 93.1% (350/376) and 94.7% (356/376), respectively. In 20 patients (5.3%), intraoperative femoral exposure due to complications was required. Postoperative complications occurred in 13 cases (3.5%), 2 of which required surgical reintervention. There was no statistical significance between the type of endovascular procedure and primary technical success (p = 0.56). The introduction of larger-diameter sheaths was not associated with increased intraoperative and postoperative complication rates (p = 0.75 and p = 0.78, respectively). Percutaneous re-puncture of the vascular access site did not result in a lower overall technical success rate (20/22, 90.9% primary technical success rate, p = 0.67; 21/22, 95.5% secondary technical success rate, p = 0.86) or an increased number of perioperative complications (1/22, 4.5% intraoperative complications, p = 0.86; 2/22, 9.1% postoperative complications, p = 0.13). Conclusion: The application of the ProGlide closure system is a safe and efficient method to achieve hemostasis during percutaneous endovascular aortic repair. Complex aortic pathologies, which often require a staged approach with re-puncture, can also be successfully treated with this closure system.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Approach in Endovascular Aortic Procedures Using a Suture-Mediated Closure Device

Oikonomou

Kvataia

Pfister

et al. 2022

JCM

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“…The overall success rate was 94.6%, which is consistent with previous reports, with technical success rates of 92%-96.9%. 4 , 8 , 18 , 19 The success rate more specifically for Prostar XL has been reported to be 88.8%-96.1%. 12 , 13 , 16 Only renal insufficiency was a risk factor for a failed percutaneous closure.…”

Section: Discussionmentioning

confidence: 99%

The Safety and Effectiveness of the Prostar XL Closure Device Compared to Open Groin Cutdown for Endovascular Aneurysm Repair

Hahl,

Karvonen,

Uurto

et al. 2023

Vasc Endovascular Surg

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Objective The aim of this study is to compare the outcomes of percutaneous femoral closure with the Prostar XL for endovascular aneurysm repair (EVAR) to those of open femoral cutdown, and to evaluate factors which may predict the failure of percutaneous closure. Methods Patients undergoing endovascular aneurysm repair for an infrarenal abdominal aortic aneurysm between 2005 and 2013 were included. Patient characteristics, anatomic femoral artery measurements, and postoperative complications were recorded retrospectively. Operator experience was defined with a cut-off point of >30 Prostar XL closures performed. Comparisons were made per access site. Results A total of 443 access sites were included, with percutaneous closure used in 257 cases (58.0%) and open cutdown in 186 cases (42.0%). The complication rate was 2.7% for the percutaneous and 4.3% for the open cutdown group ( P = .482). No significant differences between groups were found with respect to 30-day mortality, wound infections, thrombosis, seromas, or bleeding complications. Fourteen failures (5.4%) of percutaneous closure occurred. The success rates were similar for experienced and unexperienced operators (94.2% vs 95.5%, P = .768). Renal insufficiency was more common in the failed than in the successful percutaneous closure group (64.3% vs 24.7%, P = .003). Common femoral artery calcification or diameter, BMI, sheath size, or operator experience did not predict failure. No further complications were seen in follow-up CT at 1-3 years postoperatively. Conclusion The use of the Prostar XL is safe compared to open cutdown. The success rate is 94.6%. Operator experience, sheath size, obesity, or femoral artery diameter or calcification do not appear to predict a failure of percutaneous closure. Complications seem to occur perioperatively, and late complications are rare.

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Enhancing Arterial Closure in Endovascular Aortic Procedures: The Efficacy of Echo-Guided ProGlide Technique

Palmier,

Amarouche,

Teniere

et al. 2024

Annals of Vascular Surgery

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A Single Center Study of ProGlide Used for Closure of Large-Bore Puncture Holes After EVAR for AAA

Cited by 6 publications

References 27 publications

Percutaneous Approach in Endovascular Aortic Procedures Using a Suture-Mediated Closure Device

Percutaneous Approach in Endovascular Aortic Procedures Using a Suture-Mediated Closure Device

The Safety and Effectiveness of the Prostar XL Closure Device Compared to Open Groin Cutdown for Endovascular Aneurysm Repair

Enhancing Arterial Closure in Endovascular Aortic Procedures: The Efficacy of Echo-Guided ProGlide Technique

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