Perclose proglide suturemediated closure system abbot vascular. You can argue that even if the results were equivalent to two proglide devices, theres the easeofuse factor. Pdf use of a perclose proglide device for percutaneous. The technique involved deployment of two proglide devices prior to insertion of the sheath with the sutures left extracorporeally for closure following conclusion of the procedure preclose technique. A total of 559 proglide devices were used to close 279 femoral arteries. The removal of arterial cannulas using a perclose device abbott vascular, clonmel, tipperary, ireland has not been reported in patients undergoing venoarterial extracorporeal membrane oxygenation ecmo. The abbott perclose proglide suturemediated closure system provides a suture for vascular closure of 5 21 french femoral artery access sites. After routine use of the device, a hollow tube cut from the injection port of an introducer sheath is placed over the free tails of suture.
In this video, the authors demonstrate the perclose suture mediated closure technique for closure of the femoral artery after transcatheter. This closure device uses a polyester pretied suture knot to close an arteriotomy site after cardiovascular procedures. Vascular closure devices aid closure of large access sites. By releasing the second device, two crossed sutures are formed which, according to our previous experience, lead to a secure closure of the vessel. Oct 27, 2009 in the randomized trial comparing compression, perclose proglide and angioseal vasoactive intestinal peptide vip for arterial closure after pci trial, there was a significant higher risk of vcd failure with suturebased device compared with collagen plugbased device 15. Adjunctive technique for the use of proglide vascular. The electrophysiologists eps performing atrial fibrillation ablations may choose the perclose proglide suturemediated closure smc system for greater efficiency in the ep lab.
A postclose technique for femoral hemostasis after percutaneous. Learn more about the enhanced efficacy of the proglide systems, which may be attributed to inherent design and characteristics of this closure device. The device is designed to deliver a single suture stitch to close the. In this video, the authors demonstrate the perclose suture mediated closure technique for closure of the femoral artery after transcatheter aortic valve replacement. Perclose proglide 6f suturemediated closure smc system. During closure of arteriotomy sites using a 5f8f procedural sheath, use manual compression in the event that bleeding from the femoral access site persists after the use of the perclose proglide smc device. Device description the perclose proglide suturemediated closure smc system is designed to deliver a single monofilament polypropylene suture to close femoral artery puncture sites following diagnostic or interventional catheterization procedures. Illustration of described sheathtourniquet assembly. Jan 07, 2017 proglide perclose vascular closure device duration. Abbott used the perclose proglide smc and perclose prostar xl suture mediated closure devices in this study. The mynx is indicated for interventional and diagnostic procedures and, in addition to the 67. Closure devices are widely used in femoral access cardiovascular procedures for early ambulation and potential morbidity reduction. Abbott perclose proglide suturemediated closure system. Oct 26, 2019 the perclose proglide was inserted through a 0.
Perclose proglide suturemediated closure smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 1 and has no reaccess restrictions this system has the broadest arterial and venous indication. Prostar xl percutaneous vascular surgical system indications for use the prostar xl pvs system is indicated for the percutaneous delivery of sutures for closing the common femoral artery access site and reducing the time to hemostasis and time to ambulation patient walks ten feet of patients who have undergone catheterization procedures. Femoral vessel suture implantation set a collection of sterile, handoperated instruments designed for the percutaneous delivery of sutures to close a femoral artery or vein puncture site following a catheterization procedure. Abbott vascular conducted this clinical trial in collaboration with endologix, inc. Ultrasoundguided percutaneous arterial puncture and. Perclose proglide smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 1 and has no reaccess restrictions. Use of a perclose proglide device for percutaneous endovascular aortic aneurysm repair in a general hospital experience. A stopped pilot study of the proglide closure device after. Two perclose proglide devices were generally used per access site, although the number could vary depending on the experience of the operator and the specific condition of the patient. There have been no head to head trials comparing these most commonly used arterial closure devices following pci. There are no reaccess restrictions if previous arteriotomy repairs were achieved with abbott vascular smc devices. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free.
Perclose proglide suturemediated closure smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 1 and has no reaccess restrictions. In selected patients, the use of suturemediated closure devices smcds is associated with a satisfactory success rate and lower incidence of accessrelated complications when compared with surgical femoral. The smc procedure is performed by introducing the smc device through the opening in the femoral artery. Passive vcds enhance hemostasis with prothrombotic material or mechanical compression, but do not achieve prompt hemostasis or. A randomized trial comparing compression, perclose. This study evaluated the safety and efficacy of total percutaneous endovascular aortic aneurysm repair pevar with a single perclose proglide device abbot vascular, santa clara, calif compared with endovascular aortic repair with surgical cutdown sevar. To evaluate the feasibility and safety of the suturemediated proglide device in closure of the brachial artery after endovascular. After securing the suture with surgistrips surgisuppliers int. Surgery theater, with more than 12,000 educational surgery videos, is the worlds first online social medical video sharing for all health care professionals. Perclose proglide closure for ep ablation procedures.
Cumulative sum analysis of the learning curve for the. First, regardless of the desire to use a closure device, appropriate anatomy at the access site is essential for optimal success with vcds. The device is designed to close access sites created by large bore catheters, stopping the blood flow. The second proglide is applied through guidewire exchange, and rotated to roughly 2 oclock position, that is making a 90 degrees angle with the first proglide. The perclose closure devices are designed to close femoral artery puncture sites following diagnostic or interventional procedures. Participants received instructions by 2 tutors on how to perform ultrasound guided percutaneous puncture and closure using the proglide device.
Jan 01, 2008 time to ambulation was shorter with angioseal vip than with perclose proglide 261 vs. Among vascular closure devices, perclose proglide closure can offer benefits for the ep lab including. Perclose proglide suturemediated closure system provides the security of suture for vascular closure of 5f 21f femoral artery access sites. For sheath sizes greater than 8f, at least two devices and the preclose technique are required. Jun 10, 2010 the decision to use a closure device and which closure device to use is influenced by several factors, including the experience and confidence of the operator in device use. A novel technique for impella removal from nonpreclosed. Jul 01, 2011 the first device was inserted at 45 to the common femoral artery, and the sutures were deployed with a 45 medial orientation fig. To report early experience using a vascular closure device following endovascular aortic aneurysmal.
This channel includes news and new technology innovations for vascular closure devices used to rapidly seal and achive hemostatsis at vascular access sites in interventional cardiology procedures. Hemostasis of vascular closure device angioseal versus perclose article in journal of clinical rehabilitative tissue engineering research 1222. During closure of access sites using a 5 8f procedural sheath, use manual compression in the event that bleeding from the femoral access site persists after the use of the perclose proglide smc device. It is approved for the closure of 5 french to 8 french sheaths using a single perclose device with the standard technique and larger sheaths. The advantages of vascular closure devices are better patient comfort, less stress on staff, less nursing time for postprocedure monitoring, shorter time for haemostasis, early ambulation and early hospital discharge. Consult the vascular closure devices for access site closure with abbott vascular proglide. Perclose closure device breakage and embolization during. Hemostasis of vascular closure device angioseal versus. Abbotts perclose proglide vascular closure device, which offers percutaneous suturemediated closure, has the broadest indicationfor both femoral arterial. Perclose proglide vascular close device surgery video. We describe, along with a technical video, the use of a plugbased vascular closure device, namely the. Rating is available when the video has been rented. With monofilament suture, the proglide knot easily advances to the opening in the artery, allowing a single operator to rapidly deliver a pretied knot to close the access site in the femoral artery following a. In open repair, the arteriotomy wound was found to be too large to accommodate the foot of the proglide.
The proglide knot was applied to the soft tissue instead of the vessel wall figure 6. Videos of the abbott vascular perclose proglide suture. May 03, 2014 active vascular closure devices the cardiva catalyst cardiva medical, inc. This system has the broadest arterial and venous indication. Next, the guidewire must be reinserted into the side hole of the first proglide device to place a second proglide device at about 1 to 2 o. This device provides suture for vascular closure of 58f femoral artery access sites.
Total percutaneous cardiopulmonary bypass with perclose. Pdf 24h and 30 day outcome of perclose proglide suture. The perclose proglide suturemediated closure system abbott vascular, redwood city, ca, usa could be an attractive alternative for brachial artery closure based on use of the precursor 6f perclose device abbott vascular devices after coronary interventions in two small series. Sep, 20 the abbott perclose proglide suturemediated closure system provides a suture for vascular closure of 5 21 french femoral artery access sites. View large image view hires image download powerpoint slide. Our online catalog consists of more than 1500 various categories of the stages of medical care and medical discipline. Perclose proglide safe and effective for evartevar procedures. Percutaneous femoral arterial access with a largesize sheath 1225 fr has been described by different authors in the setting of endovascular aneurysm repair. Aug 18, 2016 proglide perclose vasular closure device shekar reddy thumma.
Perclose suture mediated closure technique youtube. The percutaneous technique used two proglide devices abbott vascular by direct puncture of an arterial cannula at the time of weaning off. Mar 08, 2019 accessgudid perclose proglide 08717648089 perclose proglide 6f suturemedicated closure system. The second proglide can be fired after position confirmation by ultrasound. Vascular closure devices vcds were introduced in the early 1990s with the goal of limiting the time, labor, bed rest and patient discomfort associated with mc. Ambulation was allowed 3 hr after perclose proglide or angioseal vip and 6 hr after compression. To study the 24h and 30 day outcome of perclose proglide smc retrospectively. The perclose proglide smc system is indicated for the percutaneous delivery of suture for closing the common femoral artery and vein access site of patients who have undergone diagnostic or interventional catheterization procedures. Access site management with vascular closure devices for. The traditional method to deploy a proglide suturemediated closure device during largebore vessel closure involves placing a long 0.
Total percutaneous endovascular repair of abdominal aortic. According to the manufacturer, the device maintains vascular access throughout deployment and has flexibility to preclose and close over the wire. Total percutaneous cardiopulmonary bypass with perclose proglide. Following percutaneous using an ulp device here the ovation prime system, trivascular. Abbott has gained fda approval for its perclose proglide suturemediated closure system. Wood said he believes the single manta device is a gamechanger with the potential to become the default closure device given its simplicity, particularly when compared with other largebore closure systems. Perclosetm proglide closure device to securely close the femoral vein accessed by your doctor to perform the mitral clip procedure and prevent bleeding, a device. Percutaneous removal using perclose proglide closure devices. Review of vascular closure devices cath lab digest.
We investigated the procedural outcomes and complications of percutaneous device closure vs surgical repair for hemostatic control of the arterial access site in weaning from venoarterial ecmo. Percutaneous decannulation instead of surgical removal for w. Perclose proglide suture vascular closure systems, ask. I prefer the proglide, even though you need two of them to close. This perclose proglide smc device is composed of a plunger, handle, guide, and sheath. Prostar xl percutaneous vascular surgical system abbott.
Mitral clip a clip to remember info and recovery guide. During closure of access sites using a procedural sheath 8f, in the event that bleeding from the femoral access site persists after. This included a theoretical depiction of both the puncture and the closure techniques, as well as an instructional video and demonstration on the model. Perclose proglide smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 3 and has no reaccess restrictions this system has the broadest arterial and venous indication. The smc device allows the physician to put one or two stitches in the femoral artery to close the opening. One of the biggest concerns regarding impella use is the ability to manage largebore access and possibility of closure device failure. Percutaneous removal using perclose proglide closure devices versus surgical removal for weaning after percutaneous cannulation for venoarterial extracorporeal membrane oxygenation. P device nor the angiography performed to guide the closure is separately payable. The percutaneous manta vascular closure device vcd essential medical inc. Perclose proglide suturemediated closure system fda approval. The mynx device leads to rapid hemostasis and ambulation, but additional studies are needed to confirm its safety. To describe a technique for access site closure in percutaneous abdominal aortic aneurysm aaa repair using double perclose proglide devices to overcome the problems associated with the bulky delivery system and braided suture of the antecedent prostar device. We describe an adjunctive technique for the use of the proglide vascular closure device to improve hemostasis.
The proglide is used after the insertion of large bore catheters in catheterisation procedures in the femoral vein or artery. Abbott, 12673, abbott perclose proglide suturemediated. Pty lmt, melbourne, australia, the second device was introduced over the wire, again at a 45 angle to the femoral artery. The stitches delivered by the smc device are the same as those used over several years in blood vessels and other surgical procedures. Percutaneous removal using perclose proglide closure. Using the angioseal vascular closure device duration. Perclose proglide suturemediated closure system abbott. The vendor says for sheath sizes greater than 8 french, at least two devices and the preclose technique are required. The perclose proglide abbott vascular, santa clara, calif is indicated for the closure of 5f to 21f femoral artery access sites. Proglide smc device for femoral artery access site closure up to 21f sheaths. Delay in ambulation was higher with perclose proglide than with angioseal vip 18 vs. This video describe the skills to use the perclose proglide in safe mode during the aortic procedures. Our technique is a simple way to overcome these concerns and access the non preclosed largebore arterial access, resulting in successful closure with a perclose proglide device.
No published indian data exist regarding perclose proglide suture mediated vascular closure device smc. In the randomized trial comparing compression, perclose proglide and angioseal vip for arterial closure following percutaneous coronary intervention cap trial, there was a significant higher risk of vcd failure with suture based device compared to collagen plug based device 15. Two hundred patients undergoing pci were randomized to manual compression, perclose proglide or angioseal vip. Proglide could not catch the arteriotomy wound despite multiple attempts. The perclose proglide suturemediated closure system is composed of a plunger, handle, guidewire, and sheath. If significant blood flow is present around the perclose proglide smc device, do not deploy needles. Perclose definition of perclose by the free dictionary. How the perclose proglide closure device affects ep labs.
So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free to browse, learn, share and discuss all for free. New wireretained method to performing the preclose. Figure s1 a video showing pre closure assessment, the closure technique and the post closure assessment 2. Do not deploy the perclose proglide smc device at an angle greater than 45 degrees as this may cause a cuff miss. The manta vcd contains an 8f puncture location dilator, a dedicated sheath, a closure unit, and a delivery system. Adjunctive technique for the use of proglide vascular closure device. A randomized trial comparing compression, perclose proglide. The technique involved deployment of two proglide devices before insertion of the sheath preclose technique with the sutures left extracorporeally for closure after conclusion of the procedure. Safety and utility of total percutaneous endovascular aortic. This online medical catalog of advanced medical tools and gadgets is a useful resource for. This device delivers a monofilament polypropylene suture with automated knot creation. Suturemediated closure for both femoral arterial and venous access sites. After applying the first proglide, the first knot is not tightened yet.