Pre-closure of femoral venous access sites used for large-sized sheath insertion with the Perclose device in adults undergoing cardiac intervention

Abstract

Pre-closure of large-size sheath femoral venous access sites using the suture-mediated Perclose device is efficacious in achieving rapid haemostasis in the presence of anticoagulation. Doppler follow-up shows no loss of venous patency or luminal venous diameter as compared with the contralateral side.

Venous hemostasis postcatheter ablation of atrial fibrillation while under therapeutic levels of oral and intravenous anticoagulation

“…The use of the Perclose (Abbott Vascular Devices, Redwood City, CA) suture-mediated device for femoral vein access site closure following large (>8 Fr) sheath insertion was associated with a 98 % success rate of immediate (within 2 min) hemostasis in a wide range of congenital and structural cardiac interventions [16][17][18][19]. In one report, the Angio-Seal (St. Jude Medical, Minnetonka, MN) collagen-mediated, anchor-based vascular sealing device was found safe and successful for femoral venous hemostasis (in patients with venous sheaths ≤8 Fr), with no major complications, even in the presence of anticoagulation and antiplatelet agents [20].…”

Closure devices for femoral punctures

“…In this issue of Heart , Mahadevan and colleagues show a consecutive series of 146 patients in whom venous punctures as large as 14F have been closed with suture devices ( see article on page ) 8. They confirm that it is safe to do so, with a 1.4% major complication rate.…”

Transcatheter Occlusion of the Left Atrial Appendage

“…Alternative approaches, such as use of a suture-mediated device or application of figure-of-eight suture on the skin, have been introduced for venous hemostasis of large-caliber sheaths. 10,11 …”