Feasibility and clinical benefit of a suture-mediated closure device for femoral vein access after percutaneous edge-to-edge mitral valve repair.
OBJECTIVE
We assessed feasibility, efficacy and safety of a suture-mediated closure device, Perclose Proglide (Abbott Vascular Devices, Santa Clara, CA, USA), for closure of the femoral vein access after percutaneous MitraClip (Abbott Vascular Devices) implantation.


RESULTS
Venous access of 80 consecutive patients undergoing percutaneous mitral valve repair using the MitraClip device was managed either by manual compression, "figure eight" suture and compression bandage for 12 hours, or by applying the Proglide device for haemostasis after the procedure (40 patients each group). Patients with Proglide closure showed complete immediate haemostasis in 92.5% (37/40) and were immobilised with a compression bandage for only four hours. In the Proglide group, one arteriovenous fistula was observed and had to be treated by vascular surgery. The overall duration of stay on an intensive care unit was significantly reduced in the Proglide group (59.4±48.9 hours vs. 84.6±59.5 hours, p<0.005).


CONCLUSIONS
Using a suture-mediated closure device for the femoral vein after percutaneous MitraClip implantation is feasible and safe. This allows earlier patient mobilisation and may reduce post-interventional duration of stay on an intensive care unit.
Department of Internal Medicine III, University of Heidelberg, Heidelberg, Germany.
Nicolas A
NA
Geis
Sven T
ST
Pleger
Emmanuel
E
Chorianopoulos
Oliver J
OJ
Müller
Hugo A
HA
Katus
Raffi
R
Bekeredjian
D000368:Aged; D000369:Aged, 80 and over; D001164:Arteriovenous Fistula / Q000601:surgery; D058128:Compression Bandages; D004434:Early Ambulation; D005240:Feasibility Studies; D005260:Female; D005268:Femoral Vein; D006488:Hemostasis, Surgical / Q000295:instrumentation; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D013536:Suture Techniques; D016896:Treatment Outcome; D065506:Vascular Closure Devices