“Double wire” angio‐seal closure technique after balloon aortic valvuloplasty |
| |
Authors: | Quang T Bui MD Daniel M Kolansky MD FSCAI Amr Bannan MD Howard C Herrmann MD FSCAI |
| |
Institution: | Cardiovascular Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania |
| |
Abstract: | Objectives : To report the feasibility of a collagen‐mediated closure device using a modified Angio‐Seal closure technique for access site management following percutaneous balloon aortic valvuloplasty (BAV). Background : With the advent of percutaneous aortic valve replacement therapies, there has been a resurgence of interest in BAV procedures. Vascular complications, including bleeding, are a common source of morbidity post procedure as a result of the requirement for large bore femoral artery access. The use of vascular closure devices may reduce bleeding complications. Methods : We describe a new technique for vascular closure in this setting. At the conclusion of the valvuloplasty procedure, two 0.035″ wires are inserted through the femoral artery sheath. A conventional collagen‐mediated closure device (8F Angio‐Seal) is deployed over the first wire and along side the second wire. If immediate hemostasis is not achieved, a second device is loaded onto the second wire and deployed to achieve hemostasis. Results : Percutaneous BAV was performed in 21 patients. Hemostasis was successfully achieved in all patients with either a single 8F Angio‐Seal closure device (18 patients) or after placement of a second device (three patients). Conclusions : The modified “Double Wire” Angio‐Seal technique is a feasible method for hemostasis following percutaneous BAV. © 2009 Wiley‐Liss, Inc. |
| |
Keywords: | COMP complications adult cath/intervention VALV valvular heart disease CLOS closure vascular access |
|
|