Department of Vascular Surgery, West London Vascular & Interventional Centre, Northwick Park Hospital, Watford Road, Harrow HA1 3UJ, United Kingdom
Review Article
Adjunct Techniques to Increase Success Rate of Suture Mediated Vascular Closure Devices in Percutaneous Endovascular Procedures: a Technical ReviewArticle
Author(s): Dennis H Lui, Alexander Cole, Shadeh Parsapour, Syed T Hussain, Martin Malina and Nada Selva Theivacumar*
Objectives: Percutaneous access is now the norm for many endovascular procedures. Suture-mediated closure devices
are commonly used for vessel repair after percutaneous access. Incomplete hemostasis after device deployment is
not uncommon. Several adjuncts to suture mediated closure have been described, which allow operators to optimise
hemostasis, and potentially avoid surgical exposure and repair of the punctured vessel. We review and compare
different adjunct techniques to augment hemostasis after suture-mediated vascular closure device deployment.
Methods: We performed a literature search of MEDLINE using a combined search strategy of Mesh terms. Articles
documenting adjunct techniques and maneuvers used after suture-mediated closure of 11-25 French arteriotomies
in the femoral artery were included and reviewed.
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