title: Total percutaneous cardiopulmonary bypass with Perclose ProGlide.
abstract: Suture-mediated closure devices have been previously described as an interesting alternative to femoral cutdown during endovascular aortic procedures. The insertion of two or three devices before the cannulation (preclose technique) permits successful percutaneous access also with a large sheath up to 24 Fr diameter. The main benefit of percutaneous access is a lower rate of complication at the groin. The same technique can be applied to cardiac procedures where femoral cannulation for cardiopulmonary bypass (CPB) is required. We report a series of 12 patients in whom total percutaneous CPB was successfully established using a Perclose ProGlide for the arterial access.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney, NSW, Australia. fabio.ramponi@fastwebnet.it
authors.forename: Fabio
authors.initials: F
authors.lastname: Ramponi
authors.forename: Tristan D
authors.initials: TD
authors.lastname: Yan
authors.forename: Michael P
authors.initials: MP
authors.lastname: Vallely
authors.forename: Michael K
authors.initials: MK
authors.lastname: Wilson
mesh_terms: D002315:Cardiopulmonary Bypass / Q000009:adverse effects / Q000295:instrumentation*; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation*; D057785:Catheters; D004867:Equipment Design; D005263:Femoral Artery; D005268:Femoral Vein; D006801:Humans; D009517:New South Wales; D013536:Suture Techniques; D016896:Treatment Outcome