Abstract No. 672 Suitability of femoseal vascular closure device for closure of antegrade access in common femoral artery

Introduction: To evaluate the feasibility and safety of the Mynx vascular closure device (VCD) for arteriotomy closure after stent placement near the common femoral artery (CFA) access site. Methods: A total of 88 patients (73 men; mean age, 72 ± 9.2 years; 136 procedures) who underwent closure of CFA arteriotomy using the Mynx VCD after stent placement in proximal superficial femoral artery (SFA) with antegrade approach, or in common or external iliac artery with retrograde approach were retrospectively studied. Technical success and access site complication were evaluated. Body mass index (BMI), platelet count, international normalized ratio, prior history of ipsilateral CFA access, access direction, degree of CFA calcification, stent location and diameter, total procedure time, and sheath size were analyzed to evaluate their relationship with technical failure and development of bleeding complications. Results: Technical success was achieved in 94.9% (129/136) patients. The mean time to hemostasis was 0.7 ± 1.8 min. Technical failure was significantly associated with low BMI ( p = 0.001). Other variables presented no significant relationship with technical failure and development of complications. Ultrasonography on the day after the procedure revealed that 8 (5.9%) patients had hematoma. Conclusions: Mynx VCD for arteriotomy closure is feasible and provides hemostatic safety after stent placement near antegrade or retrograde CFA access. However, Mynx VCD may have a poor technical success rate among patients with low BMI.

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Feasibility of Vascular Access Closure in Arteries Other Than the Common Femoral Artery Using the ExoSeal Vascular Closure Device

CardioVascular and Interventional Radiology ◽

10.1007/s00270-014-0853-x ◽

2014 ◽

Vol 37 (5) ◽

pp. 1352-1357 ◽

Cited By ~ 9

Author(s):

Claus Christian Pieper ◽

Kai E. Wilhelm ◽

Hans Heinz Schild ◽

Carsten Meyer

Keyword(s):

Vascular Access ◽

Femoral Artery ◽

Common Femoral Artery ◽

Closure Device ◽

Vascular Closure Device ◽

The Common

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FemoSeal® vascular closure device for antegrade common femoral artery access: Safety and technical notes

The Journal of Vascular Access ◽

10.1177/1129729819854593 ◽

2019 ◽

Vol 21 (1) ◽

pp. 79-85 ◽

Cited By ~ 1

Author(s):

Francesco Bruno Tagliaferro ◽

Gianluigi Orgera ◽

Luca Mascagni ◽

Florindo Laurino ◽

Marcello Andrea Tipaldi ◽

...

Keyword(s):

Body Mass Index ◽

Platelet Count ◽

Femoral Artery ◽

Partial Thromboplastin Time ◽

Common Femoral Artery ◽

International Normalized Ratio ◽

Closure Device ◽

Technical Success ◽

Vascular Closure Device ◽

Puncture Site

Purpose: To retrospectively assess the efficacy and safety of FemoSeal® vascular closure device to achieve hemostasis following antegrade common femoral artery puncture after lower limb revascularization using vascular sheaths from 5 to 8 Fr. Methods: We reviewed the hemostatic outcome achieved with FemoSeal in 103 consecutive patients (mean age: 69 ± 8 years, 71 males) that undergone to 111 antegrade common femoral artery accesses for percutaneous lower limbs revascularization using 5- to 8-Fr vascular sheaths. We used FemoSeal in an unselected population, without exclusion criteria. The primary outcome was the technical success, meant as achieving complete hemostasis without immediate complications. Results: Hemostasis was achieved in all 111 puncture sites (100% technical success). We observed eight (7%) puncture site minor complications (hematomas), none of which affecting the patients’ outcome or requiring further therapies or increasing the hospital stay. There were no statistically significant differences between the variables potentially related to the occurrence of complications (age, international normalized ratio, platelet count, partial thromboplastin time ratio, body mass index, and common femoral arteries calcification grade) in patients with and without complications. Complications group mean body mass index was 26.4 ± 2.8 kg/m2 versus non-complications group 26.6 ± 4.4 kg/m2, p = 0.92. Mean international normalized ratio and partial thromboplastin time ratio were 1.05 ± 0.01 and 1.05 ± 0.14 versus 1.13 ± 0.2 (p = 0.39) and 1.12 ± 0.23 (p = 0.53), respectively. Common femoral arteries calcification grade was the same (mean: 1, p = 1). Platelet count was 202 × 103/mL ± 66.7 versus 226 × 103/mL ± 91.2, p = 0.55. Mean age was 72.3 ± 10 years versus 72.8 ± 8 years, p = 0.86. Conclusion: The low rate (7%) and grading of the adverse events, combined with the high technical success rate (100%), in an unselected group of patients treated in daily routine, suggest high safety and efficacy of FemoSeal vascular closure device in antegrade common femoral artery puncture site hemostasis when using vascular sheaths ranging from 5 to 8 Fr. Therefore, FemoSeal could be considered as a first-line hemostasis strategy in such cases.

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Femoral Vascular Closure Device: The Surgical View

Vascular ◽

10.2310/6670.2008.00046 ◽

2008 ◽

Vol 16 (5) ◽

pp. 295-296

Author(s):

Alfried Germing ◽

Michael Lindstaedt ◽

Delawer Reber

Keyword(s):

Case Report ◽

Coronary Angiography ◽

Vascular Access ◽

Femoral Artery ◽

Common Femoral Artery ◽

Percutaneous Closure ◽

Closure Device ◽

Vascular Closure Device ◽

The Common ◽

Diagnostic Coronary Angiography

This case report describes the surgical findings of a percutaneous closure device, which was used after diagnostic coronary angiography. The features of the device are described. Surgeons should be familiar with the existence of these devices to avoid complications during vascular access procedures at the level of the common femoral artery.

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Closure device use for common femoral artery antegrade access is higher risk than retrograde access

Annals of Vascular Surgery ◽

10.1016/j.avsg.2021.03.009 ◽

2021 ◽

Author(s):

Joel L. Ramirez ◽

Eric J.T. Smith ◽

Devin S. Zarkowsky ◽

Jose Lopez ◽

Caitlin W. Hicks ◽

...

Keyword(s):

Femoral Artery ◽

Common Femoral Artery ◽

Closure Device ◽

Device Use

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Treatment of Infected Pseudoaneurysm of Femoral Artery after Vascular Closure Device Deployment: A Practical Solution

Case Reports in Vascular Medicine ◽

10.1155/2012/292945 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4

Author(s):

Predrag Matic ◽

Srdjan Babic ◽

Slobodan Tanaskovic ◽

Dario Jocic ◽

Djordje Radak

Keyword(s):

Femoral Artery ◽

Arterial Occlusion ◽

Surgical Excision ◽

Common Femoral Artery ◽

Coronary Intervention ◽

Closure Device ◽

Arteriovenous Fistulas ◽

Percutaneous Coronary ◽

Infected Pseudoaneurysm ◽

Device Deployment

Like other invasive procedures, percutaneous coronary interventions are associated with complications. Most common access site for these procedures is common femoral artery. Complications such as groin and retroperitoneal hematoma can be encountered as well as pseudoaneurysms, arteriovenous fistulas, acute arterial occlusion, and infection. When infected pseudoaneurysm occurs, surgical treatment can be extremely difficult. We present a case of the patient in whom infected pseudoaneurysm of common femoral artery developed after percutaneous coronary intervention and was successfully treated by surgical excision and autoarterial graft insertion.

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A New Access Site Management Tool: The Angio-Seal™ Hemostatic Puncture Closure Device

Journal of Endovascular Therapy ◽

10.1177/152660289500200309 ◽

1995 ◽

Vol 2 (3) ◽

pp. 289-296 ◽

Cited By ~ 4

Author(s):

Michel Henry ◽

Max Amor ◽

Mohamed Allaoui ◽

Olivier Tricoche

Keyword(s):

Arterial Wall ◽

Bypass Graft ◽

Vascular Complications ◽

Common Femoral Artery ◽

Management Tool ◽

Closure Device ◽

Manual Compression ◽

Vascular Closure Device ◽

Arterial Lumen ◽

Manual Pressure

Purpose: Given the increasing number of percutaneously applied endovascular therapies, the incidence of access-related vascular complications can be expected to rise, particularly in association with those techniques requiring large sheaths or anticoagulation. The need exists for a safe, easy to use, and effective hemostatic technique to replace the labor-intensive method of manual compression. Methods: A bioabsorbable, sheath-delivered vascular closure device (Angio-Seal™) has been developed that deposits a small collagen plug within the arterial wall to mechanically seal the puncture defect. An anchor connected by suture to the plug is first deployed in the arterial lumen and pulled flush against the interior arterial wall to guard against intraluminal deposition of the collagen. Results: The Angio-Seal device was deployed successfully in 80 (96%) of 83 attempts involving common femoral arteries accessed for peripheral angioplasty (n = 30), coronary angiography (n = 30), and coronary angioplasty (n = 16). Three popliteal artery access sites and one femoropopliteal bypass graft were also treated. Hemostasis was immediate in 78 cases (98%); 2 sites required a 5-minute manual compression to effect a secure seal. Three devices failed to deploy, and manual pressure was used to close the puncture. Nondeployment did not cause any sequelae, and no complications were encountered with the technique. Conclusions: This novel vascular closure device is quick (< 1 minute application time) and simple to use, providing a positive seal of common femoral artery puncture sites for both peripheral and coronary interventions. It appears to be a reliable alternative to standard manual hemostasis.

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