P C Haas1, Z Krajcer, E B Diethrich. 1. Department of Cardiology, Texas Heart Institute and St. Luke's Episcopal Hospital, Houston, USA.
Abstract
PURPOSE: To report early experience using a vascular closure device following endovascular aortic aneurysmal repair in which large-bore sheaths are used. TECHNIQUE: A 10F Prostar XL Percutaneous Vascular Surgery device is used to deploy sutures around sheath entry sites up to 16F. At the completion of the procedure, the sutures are tied with a sliding knot to ensure adequate hemostasis. CONCLUSIONS: Maintaining the minimal invasiveness of the percutaneous approach to aortic endografting reduces patient discomfort and permits earlier ambulation and hospital discharge. Initial success seems to be maintained at 1 month, however, longer follow-up will be required.
PURPOSE: To report early experience using a vascular closure device following endovascular aortic aneurysmal repair in which large-bore sheaths are used. TECHNIQUE: A 10F Prostar XL Percutaneous Vascular Surgery device is used to deploy sutures around sheath entry sites up to 16F. At the completion of the procedure, the sutures are tied with a sliding knot to ensure adequate hemostasis. CONCLUSIONS: Maintaining the minimal invasiveness of the percutaneous approach to aortic endografting reduces patient discomfort and permits earlier ambulation and hospital discharge. Initial success seems to be maintained at 1 month, however, longer follow-up will be required.
Authors: Rodney P Bensley; Rob Hurks; Zhen Huang; Frank Pomposelli; Allen Hamdan; Mark Wyers; Elliot Chaikof; Marc L Schermerhorn Journal: J Vasc Surg Date: 2012-02-22 Impact factor: 4.268
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