Feasibility and safety of temporary subcutaneous venous figure-of-eight suture to achieve haemostasis after ablation of atrial fibrillation

Abstract

Figure-of-eight suture is a fast closure technique that can be used as an efficient alternative to usual compression methods to prevent bleeding during high-intensity anticoagulation and the use of large-diameter venous sheaths and multiple femoral venous accesses.

Three‐way stopcock suture technique for hemostasis after ablation for atrial fibrillation

“…F8S have been shown to be equally safe and effective as MC after AF ablation, with a low rate of complication . In addition, we recently showed that F8S can significantly reduce recovery time in the EP laboratory.…”

“…Manual compression (MC) after sheath removal to achieve postprocedure venous hemostasis has been the traditional standard; however, suture techniques, such as the figure‐of‐eight sutures (F8S), are now widely used as an alternative. F8S has been shown to be equally effective and safe as MC, but it does have some disadvantages . Suture knots can fragment when cut and can be difficult to remove.…”

Safety and feasibility of percutaneous skin closure using purse‐string suture compared with compression bandage after pulmonary vein isolation

“…Our study concerning modified percutaneous skin closure after PVI as an inexpensive alternative for reducing severe complications should be seen in this context. In recent studies, the “figure‐of‐eight” suture was described as a possible closure method after single‐sided venous punctures. These studies were performed on a relatively small number of patients with a different anticoagulation regimen and only after CB procedures with unilateral punctures, and one of the studies had no control group .…”

“…In recent studies, the “figure‐of‐eight” suture was described as a possible closure method after single‐sided venous punctures. These studies were performed on a relatively small number of patients with a different anticoagulation regimen and only after CB procedures with unilateral punctures, and one of the studies had no control group . The “figure‐of‐eight” closure was not described for the simultaneous removal of two large‐caliber venous sheaths and for bilateral punctures after RF ablation.…”

“…Aytemir et al . described this suture closure for only one 15 Fr‐sheath after cryoballoon ablation and Traulle et al . performed additional compression dressing after suture‐mediated closure with a bed rest of 12 hours.…”