Percutaneous arterial access: redefining the possibilities using suture-mediated closure (Perclose).
The standard for achieving post-procedure arteriotomy hemostasis has been 15-minute manual compression followed by 4- to 8-hour bed rest. Inadequate hemostasis can lead to local complications such as hematomas or significant complications requiring surgical intervention. Suture-mediated closure of the femoral arteriotomy offers an alternative to the standard manual compression to achieve secure hemostasis and has decreased overall access complications. Because the tissue is brought into complete apposition, the closure is independent of clot formation and the average time to hemostasis is significantly reduced. This article will discuss suture-mediated closure, the appropriate selection of patients and developing the proper technique for deployment. Using suture-mediated closure will allow for a greater scope of eligible patients, no significant increase and often a decrease in complications, greater patient comfort and throughput, and utilization benefits for the practice of interventional radiology.
Facchini
Francis R
FR
Northwestern University and the Department of Interventional Radiology, Evanston Northwestern Healthcare, Evanston, IL, USA.
D005263:Femoral Artery; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D011677:Punctures; D013536:Suture Techniques / Q000295:instrumentation*