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

Abstract

Percutaneous skin closure with a purse-string suture has the clinical impact to reduce vascular complications, hospital costs, and hospital stay length after pulmonary vein isolation.

Comparison of standard vs modified “figure‐of‐eight” suture to achieve femoral venous hemostasis after cryoballoon based atrial fibrillation ablation

“…Although suture or collagen delivery devices were shown to be effective for immediate femoral venous hemostasis, these devices are not applicable for each size of sheaths (approved ones up to 12 Fr), has a significant cost, require a learning curve, and has exceptional complications . Therefore, the sFoE suture as a cost‐effective, time‐saving and probably safe technique is put into clinical practice to achieve venous hemostasis as compared to conventional manual compression after AF ablation . The hemostatic mechanism of sFoE is based on the compression of the femoral vein at the puncture site by subcutaneous soft tissue around it.…”

“…17,18 Therefore, the sFoE suture as a cost-effective, time-saving and probably safe technique is put into clinical practice to achieve venous hemostasis as compared to conventional manual compression after AF ablation. 5,7,8,19 The hemostatic mechanism of sFoE is based on the compression of the femoral vein at the puncture site by subcutaneous soft tissue around it. However, the sFoE has some unfavorable features including; (i) the risk for snapping of the knot at the last step, (ii) rebleeding because of loosening of the suture, (iii) cutting the suture after a waiting period and inability to tighten it again in case of rebleeding, (iv) fragmentation of the suture material while removing it, and (v) necessity of specific equipment for removal of it.…”

“…Immediate hemostasis following femoral sheath removal is essential to prevent access site complications during AF ablation. Additionally, it also reduces the occupancy rate of procedure table, time loss for laboratory staff, length of patients’ laboratory/hospital stay, and cost . Despite various precautions to achieve complete hemostasis in a safe and effective manner, no standard approach or technique is available yet.…”

“…Additionally, it also reduces the occupancy rate of procedure table, time loss for laboratory staff, length of patients' laboratory/hospital stay, and cost. [6][7][8] Despite various precautions to achieve complete hemostasis in a safe and effective manner, no standard approach or technique is available yet. Device-based invasive vascular closure techniques have significant cost with a risk of device failure and specific vascular complications.…”

Successful cryoballoon ablation of a focal atrial tachycardia in a patient with situs inversus and dextrocardia

“…Pericardial effusion was excluded by echocardiography immediately after ablation. Venous access site closure was achieved by subcutaneous temporary suture closure after removal of the venous sheaths . Preserved phrenic nerve function was documented through diaphragmatic tone by X‐ray examination before discharge.…”