title: Adjunctive technique for the use of ProGlide vascular closure device to improve hemostasis.
abstract: The Perclose ProGlide (Abbott Vascular, Santa Clara, Calif) is indicated for the closure of 5F to 21 F femoral artery access sites. We describe an adjunctive technique for the use of the ProGlide vascular closure device to improve hemostasis. After routine use of the device, a hollow tube (cut from the injection port of an introducer sheath) is placed over the free tails of suture. These tubes are secured in place by a hemostat that grasps the free suture tails, creating a Rummel-style tourniquet that compresses the arteriotomy, improving hemostasis. The tubes doubly serve as a conduit for the administration of prothrombotic agents directly in the event that hemostasis is not adequately achieved.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston; and the Memorial Hermann Heart and Vascular Institute, Houston, Tex.
authors.forename: Courtney L
authors.initials: CL
authors.lastname: Furlough
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston; and the Memorial Hermann Heart and Vascular Institute, Houston, Tex.
authors.forename: Sapan S
authors.initials: SS
authors.lastname: Desai
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston; and the Memorial Hermann Heart and Vascular Institute, Houston, Tex. Electronic address: ali.azizzadeh@uth.tmc.edu.
authors.forename: Ali
authors.initials: A
authors.lastname: Azizzadeh
mesh_terms: D002406:Catheterization, Peripheral / Q000009:adverse effects*; D004867:Equipment Design; D005263:Femoral Artery; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D011677:Punctures; D014111:Tourniquets; D016896:Treatment Outcome; D065506:Vascular Closure Devices