Triple-wire: a variation of the "Preclose" technique.
We describe a technical modification of the "Preclose" technique that changes the cross-pattern sutures created with the Prostar XL as in a previously described variation using the Proglide device for longitudinal interrupted sutures. This technique was used in 19 femoral arteries, with satisfactory hemostasis achieved in 17. The variation we describe creates a percutaneous longitudinal interrupted suture that closely resembles a surgical interrupted suture. It adds minimal operative time, no additional technical demands, and no significant material cost. Additionally, it allows better control over suture placement and insertion of a balloon catheter for better proximal bleeding control.
Izquierdo
Luis
L
Vascular and Endovascular Surgery Service, Instituto Vascular Internacional-Hospital Universitario Madrid Montepríncipe, Madrid, Spain. ivi@institutovascular.es
Criado
Enrique
E
Leiva
Luis
L
Aguinaco
Ana
A
Zotta
Romina
R
Solares
Jose Ignacio Fernández
JI
D021721:Balloon Occlusion / Q000009:adverse effects / Q000295:instrumentation; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D017128:Embolectomy / Q000295:instrumentation; D004867:Equipment Design; D005263:Femoral Artery; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D011677:Punctures; D013536:Suture Techniques / Q000009:adverse effects