title: Successful use of the Cardiva Boomerang™ vascular closure device to close a brachial artery puncture site after emergency PTCA.
abstract: Brachial artery access is a good alternative for performing percutaneous transluminal angioplasty when femoral access is contraindicated or not feasible. Although several closure devices are available for femoral access, haemostasis for brachial artery access is still achieved by manual compression with several potential complications, such as bleeding, pseudo-aneurysm formation, especially in patients in which heparin is administered, or thrombotic vessel occlusion. This first-in-human report describes the off-label brachial use of the Cardiva Boomerang™, a novel vascular closure device, which provides haemostasis using a temporary intravascular tampon, thus permitting the easier physiological closure of the puncture site without any important complications.
authors.affiliation: Department of Clinical Medicine, Cardiovascular and Immunological Science, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy. pcirillo@unina.it
authors.forename: Plinio
authors.initials: P
authors.lastname: Cirillo
authors.forename: Gianluca
authors.initials: G
authors.lastname: Petrillo
authors.forename: Greta Luana
authors.initials: GL
authors.lastname: D'Ascoli
authors.forename: Federico
authors.initials: F
authors.lastname: Piscione
authors.forename: Massimo
authors.initials: M
authors.lastname: Chiariello
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D001916:Brachial Artery; D004867:Equipment Design; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011356:Product Labeling; D011677:Punctures; D016896:Treatment Outcome