Closure of large percutaneous access sites using the Prostar XL Percutaneous Vascular Surgery device
- PMID: 10473335
- DOI: 10.1177/152660289900600209
Closure of large percutaneous access sites using the Prostar XL Percutaneous Vascular Surgery device
Abstract
Purpose: To report early experience using a vascular closure device following endovascular aortic aneurysmal repair in which large-bore sheaths are used.
Technique: A 10F Prostar XL Percutaneous Vascular Surgery device is used to deploy sutures around sheath entry sites up to 16F. At the completion of the procedure, the sutures are tied with a sliding knot to ensure adequate hemostasis.
Conclusions: Maintaining the minimal invasiveness of the percutaneous approach to aortic endografting reduces patient discomfort and permits earlier ambulation and hospital discharge. Initial success seems to be maintained at 1 month, however, longer follow-up will be required.