Use of figure of eight suture for groin closure with no heparin reversal in patients undergoing cryoballoon ablation for atrial fibrillation

Velagić, Vedran; Mugnai, Giacomo; Pašara, Vedran; Prepolec, Ivan; Puljević, Mislav; Pezo-Nikolić, Borka; Puljević, Davor; Samardžić, Jure; Čikeš, Maja; Miličić, Davor

doi:10.1007/s10840-020-00776-0

Cited by 3 publications

(6 citation statements)

References 12 publications

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“…It was associated with a better rate of same-day discharges (12.3% vs. 3.2%; P <0.001), and a non-significantly lower rate of complications (1.5% vs. 2.6%; P = 0.401) [5]. Other procedures for cardiac arrhythmias including the closure of the left atrial appendage demonstrated the usefulness of the FO8 suture with a shorter time to hemostasis (0 vs. 14 minutes; P <0.001), shorter turnaround time (defined as the time from sheaths' removal to first venous puncture for the next patient) (58.6 ± 14 minutes vs. 77 ± 33.9 minutes; P = 0.004), with no evidence of minor or major vascular access complications either immediately or at 3-month follow-up [24,25,32,36].…”

Section: Figure-of-eight Suturementioning

confidence: 99%

“…Multiple studies have established the efficacy and safety of the suture techniques, particularly FO8, even after procedures involving multiple femoral venous accesses with up to 24 F caliber sheaths. Suture techniques offer immediate hemostasis with comparable venous access complication rate to manual compression [5,8,16,22,23,25,32,33].…”

Section: Suture Techniquesmentioning

confidence: 99%

“…They showed that the FO8 achieved hemostasis in less than a minute and resulted in significantly faster ambulation and shorter overall hospital stay and significantly fewer access site complications. The difference is driven mainly by bleeding and hematoma even though more patients in the manual compression group underwent heparin reversal with protamine [5,6,8,24,25,32].…”

Section: Figure-of-eight Suturementioning

confidence: 99%

“…A number of studies for electrophysiological procedures favored the FO8 suture compared to manual compression due to more-immediate hemostasis and early ambulation with or without administration of protamine [5,24,25,32,36]. More recently, an observational registry involved 434 ablations for AF using 8-15 F venous sheaths w w w .…”

Section: Figure-of-eight Suturementioning

confidence: 99%

“…The trend towards large-caliber sheaths and the use of uninterrupted anticoagulation often prolong the manual compression process and undermine its effectiveness even further [6][7][8][9][10][11]. Alternative approaches to achieving an immediate and safe venous access site hemostasis are becoming increasingly important and include subcutaneous suture techniques and vascular closure devices [5][6][7][8][22][23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

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New approaches to achieving hemostasis after venous access in cardiovascular patients

et al. 2022

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Recent decades have seen a series of advances in percutaneous transvenous procedures for cardiac arrhythmias, including the implantation of leadless pacemakers. Many of these procedures require the insertion of large caliber sheaths in large veins, usually the femoral vein. Securing hemostasis efficiently and reliably at the access site is a key step to improving a procedure's safety profile. Traditionally, hemostasis was achieved by manual compression of venous access sites, but the trend toward larger sheaths and the increased use of uninterrupted anticoagulation has pushed the limits of this method. Achieving hemostasis by compression alone in these circumstances requires more attention and longer duration, leading to greater patient discomfort and prolonged immobility. In turn, manual compression may be more time-consuming for medical professionals and increase the number of occupied hospital beds. New approaches have been developed to facilitate early ambulation, decrease patient discomfort, and address the risk of access site complications. These approaches include vascular closure devices and subcutaneous suture techniques including figureof-eight and purse-string sutures. This article reviews the new approaches applied to achieve venous access site hemostasis in patients undergoing transvenous procedures for cardiac arrhythmias.

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Section: Figure-of-eight Suturementioning

confidence: 99%

Section: Suture Techniquesmentioning

confidence: 99%

Section: Figure-of-eight Suturementioning

confidence: 99%

Section: Figure-of-eight Suturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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New approaches to achieving hemostasis after venous access in cardiovascular patients

et al. 2022

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Safety of multi-access site venous closure following catheter ablation of atrial fibrillation and flutter

Gupta,

Kolluri,

Simoes

et al. 2024

J Interv Card Electrophysiol

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Background Following catheter ablation, vascular access management involves potential complications and prolonged recovery. Recently, suture-mediated closure (SMC) devices were approved for venous access procedures. The objective of this study is to evaluate the safety of a commercially available SMC for multiple access site venous closure by duplex ultrasound (DUS) in asymptomatic subjects with non-visible complications. Methods Thirty-six subjects (63 ± 10.7 years old, 12 female) were enrolled. Following catheter ablation for atrial fibrillation, all subjects had SMC of every venous access site. Subjects underwent DUS of femoral veins and arteries. DUS was performed at discharge, and again at 30 days. Subjects were evaluated for clinically apparent vascular complications. Results Mean procedure duration was 138.6 min, and the time to hemostasis was 3.1 min/access site and 9.5 min/subject. Median time to ambulation was 193.5 min, and median time to discharge was 5.95 h, with discharge as early as 2.4 h. A median of 2 sheaths/vein and a median of 2 SMC devices/vein were used. There were no major complications and a 16.7% (6/36) minor complication rate at discharge. All complications resolved at 30 days. The complication rate was not higher in patients with 2 SMC per access site as compared to the patients who just received 1 SMC per access site. Conclusions This study demonstrates the safety of multi-access closure using SMC, following catheter ablation procedures, for closure of sites that use sheath sizes from ≤ 8F to ≥ 15F and for those that use 2 or more SMCs per access site. Graphical abstract

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Feasibility and clinical benefits of the double-ProGlide technique for hemostasis after cryoballoon atrial fibrillation ablation with uninterrupted oral anticoagulants

Sun¹,

Xuan²,

Yu³

et al. 2023

Journal of Geriatric Cardiology

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OBJECTIVETo access the efficacy and safety of the double-ProGlide technique for the femoral vein access-site closure in cryoballoon ablation with uninterrupted oral anticoagulants (OAC), and its impact on the electrophysiology laboratory time as well as hospital stay after the procedure in this observational study. METHODS Patients with atrial fibrillation undergoing cryoballoon ablation with uninterrupted OAC at

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Use of figure of eight suture for groin closure with no heparin reversal in patients undergoing cryoballoon ablation for atrial fibrillation

Cited by 3 publications

References 12 publications

New approaches to achieving hemostasis after venous access in cardiovascular patients

New approaches to achieving hemostasis after venous access in cardiovascular patients

Safety of multi-access site venous closure following catheter ablation of atrial fibrillation and flutter

Feasibility and clinical benefits of the double-ProGlide technique for hemostasis after cryoballoon atrial fibrillation ablation with uninterrupted oral anticoagulants

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