Ambulation was allowed 3 hr after perclose proglide or angioseal vip and 6 hr after compression. 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. Illustration of described sheathtourniquet assembly. Vascular closure devices aid closure of large access sites. Among vascular closure devices, perclose proglide closure can offer benefits for the ep lab including. Perclose closure device breakage and embolization during. 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. Mar 08, 2019 accessgudid perclose proglide 08717648089 perclose proglide 6f suturemedicated closure system. 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. Adjunctive technique for the use of proglide vascular closure device. Pdf 24h and 30 day outcome of perclose proglide suture. Hemostasis of vascular closure device angioseal versus perclose article in journal of clinical rehabilitative tissue engineering research 1222. Total percutaneous cardiopulmonary bypass with perclose proglide.
Abbott perclose proglide suturemediated closure system. Rating is available when the video has been rented. A stopped pilot study of the proglide closure device after. 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. First, regardless of the desire to use a closure device, appropriate anatomy at the access site is essential for optimal success with vcds. Perclose proglide suturemediated closure system abbot vascular. For sheath sizes greater than 8f, at least two devices and the preclose technique are required. The electrophysiologists eps performing atrial fibrillation ablations may choose the perclose proglide suturemediated closure smc system for greater efficiency in the ep lab.
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. This perclose proglide smc device is composed of a plunger, handle, guide, and sheath. Aug 18, 2016 proglide perclose vasular closure device shekar reddy thumma. The device is designed to close access sites created by large bore catheters, stopping the blood flow. Videos of the abbott vascular perclose proglide suture. In this video, the authors demonstrate the perclose suture mediated closure technique for closure of the femoral artery after transcatheter. Following percutaneous using an ulp device here the ovation prime system, trivascular. Use of a perclose proglide device for percutaneous endovascular aortic aneurysm repair in a general hospital experience. Jan 07, 2017 proglide perclose vascular closure device duration. This online medical catalog of advanced medical tools and gadgets is a useful resource for. The percutaneous technique used two proglide devices abbott vascular by direct puncture of an arterial cannula at the time of weaning off. You can argue that even if the results were equivalent to two proglide devices, theres the easeofuse factor.
Our online catalog consists of more than 1500 various categories of the stages of medical care and medical discipline. Percutaneous removal using perclose proglide closure. After securing the suture with surgistrips surgisuppliers int. 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. 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. 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. 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. This included a theoretical depiction of both the puncture and the closure techniques, as well as an instructional video and demonstration on the model. 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. Proglide smc device for femoral artery access site closure up to 21f sheaths. 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. Two hundred patients undergoing pci were randomized to manual compression, perclose proglide or angioseal vip.
Closure devices are widely used in femoral access cardiovascular procedures for early ambulation and potential morbidity reduction. The smc device allows the physician to put one or two stitches in the femoral artery to close the opening. To report early experience using a vascular closure device following endovascular aortic aneurysmal. Perclose proglide suture vascular closure systems, ask. This closure device uses a polyester pretied suture knot to close an arteriotomy site after cardiovascular procedures. The proglide knot was applied to the soft tissue instead of the vessel wall figure 6. This system has the broadest arterial and venous indication. Pty lmt, melbourne, australia, the second device was introduced over the wire, again at a 45 angle to the femoral artery.
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. Using the angioseal vascular closure device duration. Hemostasis of vascular closure device angioseal versus. 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. According to the manufacturer, the device maintains vascular access throughout deployment and has flexibility to preclose and close over the wire. Percutaneous removal using perclose proglide closure devices versus surgical removal for weaning after percutaneous cannulation for venoarterial extracorporeal membrane oxygenation.
So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free. Abbott used the perclose proglide smc and perclose prostar xl suture mediated closure devices in this study. Surgery theater, with more than 12,000 educational surgery videos, is the worlds first online social medical video sharing for all health care professionals. To evaluate the feasibility and safety of the suturemediated proglide device in closure of the brachial artery after endovascular. Learn more about the enhanced efficacy of the proglide systems, which may be attributed to inherent design and characteristics of this closure device. Total percutaneous cardiopulmonary bypass with perclose. Sep, 20 the abbott perclose proglide suturemediated closure system provides a suture for vascular closure of 5 21 french femoral artery access sites. 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. Abbotts perclose proglide vascular closure device, which offers percutaneous suturemediated closure, has the broadest indicationfor both femoral arterial.
In open repair, the arteriotomy wound was found to be too large to accommodate the foot of the proglide. There have been no head to head trials comparing these most commonly used arterial closure devices following pci. Percutaneous femoral arterial access with a largesize sheath 1225 fr has been described by different authors in the setting of endovascular aneurysm repair. 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. Percutaneous decannulation instead of surgical removal for w. Perclose proglide suturemediated closure system abbott. Abbott vascular conducted this clinical trial in collaboration with endologix, inc.
View large image view hires image download powerpoint slide. Perclose proglide closure for ep ablation procedures. Access site management with vascular closure devices for. Perclose proglide safe and effective for evartevar procedures. May 03, 2014 active vascular closure devices the cardiva catalyst cardiva medical, inc. 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. The second proglide can be fired after position confirmation by ultrasound. Cumulative sum analysis of the learning curve for the. Review of vascular closure devices cath lab digest.
A randomized trial comparing compression, perclose proglide. If significant blood flow is present around the perclose proglide smc device, do not deploy needles. 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. The abbott perclose proglide suturemediated closure system provides a suture for vascular closure of 5 21 french femoral artery access sites. During closure of access sites using a procedural sheath 8f, in the event that bleeding from the femoral access site persists after. The proglide is used after the insertion of large bore catheters in catheterisation procedures in the femoral vein or artery. In this video, the authors demonstrate the perclose suture mediated closure technique for closure of the femoral artery after transcatheter aortic valve replacement. Jan 01, 2008 time to ambulation was shorter with angioseal vip than with perclose proglide 261 vs. The percutaneous manta vascular closure device vcd essential medical inc. This device delivers a monofilament polypropylene suture with automated knot creation. The smc procedure is performed by introducing the smc device through the opening in the femoral artery. The device is designed to deliver a single suture stitch to close the.
Abbott has gained fda approval for its perclose proglide suturemediated closure system. We describe an adjunctive technique for the use of the proglide vascular closure device to improve hemostasis. Percutaneous removal using perclose proglide closure devices. A postclose technique for femoral hemostasis after percutaneous. Pdf use of a perclose proglide device for percutaneous. 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. I prefer the proglide, even though you need two of them to close. Perclose suture mediated closure technique youtube.
The perclose proglide suturemediated closure system is composed of a plunger, handle, guidewire, and sheath. 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. The perclose proglide abbott vascular, santa clara, calif is indicated for the closure of 5f to 21f femoral artery access sites. Perclose definition of perclose by the free dictionary. Abbott, 12673, abbott perclose proglide suturemediated. 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. 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. Mitral clip a clip to remember info and recovery guide. Safety and utility of total percutaneous endovascular aortic. 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. Perclose proglide suturemediated closure system provides the security of suture for vascular closure of 5f 21f femoral artery access sites.
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. Perclose proglide vascular close device surgery video. P device nor the angiography performed to guide the closure is separately payable. 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. 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.
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. 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. The mynx device leads to rapid hemostasis and ambulation, but additional studies are needed to confirm its safety. Total percutaneous endovascular repair of abdominal aortic. 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. Perclose proglide smc system delivers a secure, nonmasking percutaneous suture to the access site that promotes primary healing 1 and has no reaccess restrictions. The stitches delivered by the smc device are the same as those used over several years in blood vessels and other surgical procedures. A total of 559 proglide devices were used to close 279 femoral arteries. The vendor says for sheath sizes greater than 8 french, at least two devices and the preclose technique are required. Perclose proglide suturemediated closure system fda approval. To study the 24h and 30 day outcome of perclose proglide smc retrospectively. 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. 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.
Prostar xl percutaneous vascular surgical system abbott. This video describe the skills to use the perclose proglide in safe mode during the aortic procedures. The mynx is indicated for interventional and diagnostic procedures and, in addition to the 67. Adjunctive technique for the use of proglide vascular. New wireretained method to performing the preclose. A randomized trial comparing compression, perclose. Proglide could not catch the arteriotomy wound despite multiple attempts. 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. How the perclose proglide closure device affects ep labs. By releasing the second device, two crossed sutures are formed which, according to our previous experience, lead to a secure closure of the vessel. No published indian data exist regarding perclose proglide suture mediated vascular closure device smc. Figure s1 a video showing pre closure assessment, the closure technique and the post closure assessment 2.
One of the biggest concerns regarding impella use is the ability to manage largebore access and possibility of closure device failure. The traditional method to deploy a proglide suturemediated closure device during largebore vessel closure involves placing a long 0. There are no reaccess restrictions if previous arteriotomy repairs were achieved with abbott vascular smc devices. Perclose proglide 6f suturemediated closure smc system. Ultrasoundguided percutaneous arterial puncture and.
Consult the vascular closure devices for access site closure with abbott vascular proglide. Suturemediated closure for both femoral arterial and venous access sites. We describe, along with a technical video, the use of a plugbased vascular closure device, namely the. 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. After applying the first proglide, the first knot is not tightened yet. Oct 26, 2019 the perclose proglide was inserted through a 0. Do not deploy the perclose proglide smc device at an angle greater than 45 degrees as this may cause a cuff miss.