title: Application of gelatin sponge sandwich as a hemostatic aid to percutaneous suture-mediated arteriotomy closure.
abstract: Suture-mediated closure devices are increasingly used for closure of large arteriotomies, such as those required for endovascular aortic repair. One of the commonly encountered situations is persistent arteriotomy oozing after successful closure requiring manual compression. The purpose of this report is to describe a simple adjunctive technique that allows a hemostatic agent (such as gelatin sponge) to be "railroaded" onto the arteriotomy site over the sutures of the closure device, thus facilitating hemostasis.
authors.affiliation: Department of Diagnostic Radiology, Tan Tock Seng Hospital, and Yong Loo-Lin School of Medicine, National University of Singapore, Singapore. druei@yahoo.com
authors.forename: Uei
authors.initials: U
authors.lastname: Pua
mesh_terms: D001158:Arteries; D057510:Endovascular Procedures / Q000009:adverse effects*; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006487:Hemostasis; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D011677:Punctures; D013536:Suture Techniques / Q000009:adverse effects; D016896:Treatment Outcome