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"Double wire" angio-seal closure technique after balloon aortic valvuloplasty.
- Source :
-
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2010 Mar 01; Vol. 75 (4), pp. 488-92. - Publication Year :
- 2010
-
Abstract
- Objectives: To report the feasibility of a collagen-mediated closure device using a modified Angio-Seal closure technique for access site management following percutaneous balloon aortic valvuloplasty (BAV).<br />Background: With the advent of percutaneous aortic valve replacement therapies, there has been a resurgence of interest in BAV procedures. Vascular complications, including bleeding, are a common source of morbidity post procedure as a result of the requirement for large bore femoral artery access. The use of vascular closure devices may reduce bleeding complications.<br />Methods: We describe a new technique for vascular closure in this setting. At the conclusion of the valvuloplasty procedure, two 0.035'' wires are inserted through the femoral artery sheath. A conventional collagen-mediated closure device (8F Angio-Seal) is deployed over the first wire and along side the second wire. If immediate hemostasis is not achieved, a second device is loaded onto the second wire and deployed to achieve hemostasis.<br />Results: Percutaneous BAV was performed in 21 patients. Hemostasis was successfully achieved in all patients with either a single 8F Angio-Seal closure device (18 patients) or after placement of a second device (three patients).<br />Conclusions: The modified "Double Wire" Angio-Seal technique is a feasible method for hemostasis following percutaneous BAV.
- Subjects :
- Aged
Aged, 80 and over
Equipment Design
Feasibility Studies
Female
Hemorrhage etiology
Humans
Male
Punctures
Severity of Illness Index
Treatment Outcome
Aortic Valve Stenosis therapy
Catheterization adverse effects
Femoral Artery
Hemorrhage prevention & control
Hemostatic Techniques instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 1522-726X
- Volume :
- 75
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
- Publication Type :
- Academic Journal
- Accession number :
- 19937771
- Full Text :
- https://doi.org/10.1002/ccd.22295