Editor's Choice - A Randomized Controlled Trial of the Fascia Suture Technique Compared with a Suture-mediated Closure Device for Femoral Arterial Closure after Endovascular Aortic Repair

Larzon, Thomas; Roos, Håkan; Gruber, Göran; Magnuson, Anders; Falkenberg, Mårten; Lönn, Lars; Norgren, Lars

doi:10.1016/j.ejvs.2014.10.021

Cited by 28 publications

(29 citation statements)

References 27 publications

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“…15,47-51 ►Table 3 illustrates the above results. Only one study, conducted by Larzon et al, 52 has attempted to compare FST with SMCD. In particular, median access closure time was shorter with the FST than the Prostar XL Device (12.4 min versus 19.9 min, p < 0.001), but no significant differences were detected between FST and SMCD in regards to the rates of technical failure, complications, or reintervention.…”

Section: Results Of Fstmentioning

confidence: 99%

“…Moreover, FST seems to offer a "notouch" artery closure, which could be advantageous in case of endovascular treatment of ruptured aortic aneurysms. 52 The lack of the preclosure preparation of the access site seems to be advantageous under these critical situations. Furthermore, as demonstrated in the Larzon et al's study, 52 FST can work as a bailout procedure for failed Prostar XL suture.…”

Section: Discussionmentioning

confidence: 99%

“…52 The lack of the preclosure preparation of the access site seems to be advantageous under these critical situations. Furthermore, as demonstrated in the Larzon et al's study, 52 FST can work as a bailout procedure for failed Prostar XL suture. In the same study, there was an attempt to investigate whether FST can reduce the access closure time and the procedural costs compared with the Prostar XL technique.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, one RCT study investigated whether the FST can reduce the access closure time and the procedural costs compared with the Prostar XL technique in patients (n ¼ 100) undergoing EVAR. 52 The 30 original articles reporting results of SMCD included 3,992 patients having undergone closure of the wound of CFA by this method. Concerning the six studies on FST, they included 426 patients and 660 catheterized CFA in total.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Fascia Suture Technique and Suture-mediated Closure Devices: Systematic Review

et al. 2018

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The aim of the present study is to review the available data on suture-mediated closure devices (SMCDs) and fascia suture technique (FST), which are alternatives for minimizing the invasiveness of percutaneous endovascular aortic aneurysm repair (p-EVAR) and reduce the complications related to groin dissections. The Medline, ClinicalTrials.gov, and Cochrane library - Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched for publications regarding SMCD and FST between January 1999 and December 2016. We review 37 original articles, 30 referring to SMCDs (Prostar XL and Proglide), which included 3,992 patients, and 6 articles referring to FST, which include 426 patients. The two techniques are compared only in one article (100 patients). The two types of SMCDs were Prostar and Proglide. In most studies on SMCDs, the reported technical success rates were between 89 and 100%, but the complication rates varied greatly between 0 and 25%. Concerning FST, the technical success rates were also high, ranging between 87 and 99%. However, intraoperative complication rates ranged between 1.2 and 13%, whereas postoperative complication rates varied from 0.9 to 6.2% for the short-term and from 1.9 to 13.6% for the long-term. SMCDs and FST seem to be effective and simple methods for closing common femoral artery (CFA) punctures after p-EVAR. FST can reduce the access closure time and the procedural costs with a quite short learning curve, whereas it can work as a bailout procedure for failed SMCDs suture. The few failures of the SMCDs and FST that may occur due to bleeding or occlusion can easily be managed.

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Section: Results Of Fstmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Fascia Suture Technique and Suture-mediated Closure Devices: Systematic Review

et al. 2018

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“…Our protocol includes two suture-mediated closure devices where the introducer is inserted. Use of a vascular sealing device is effective in achieving rapid hemostasis and probably facilitates early ambulation [19,20] even if direct or fascia suture techniques are feasible and costeffective [21]. Puncture of contralateral vessels is nowadays deemed unnecessary and avoided and the number of vascular complications is thereby reduced.…”

Section: Discussionmentioning

confidence: 99%

A Simplified Protocol for Transcatheter Aortic Valve Implantation that Reduces Procedure-Related Risk

Baranowski¹,

Nielsen

Ahn

2016

J Cardiovasc Dis Diagn

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Objectives: Transcatheter Aortic Valve Implantation is now a well-established procedure and continuous development has improved the technique. The object of this paper is to describe the successive steps taken at our department to improve our protocol, resulting in a more effective and patient-safe procedure.Design: An echo-guided method for aortic cusp alignment was used in 229 patients. In 139 patients predilatation was excluded from the protocol. In the last 47 of the patients we exchanged the stiff guide-wire in the left ventricle with a soft wire for valve placement.Results: There was a significant decrease in the use of contrast medium during the period with 90% of patients receiving less than 50 ml contrast and 35% no contrast at all. In more than half the patients we only used rapid pacing in association with deployment of the stent valve. We had six cases of pericardial bleeding due to penetration of the stiff guide wire through the left ventricular (LV) wall. This complication was avoided in all subsequent patients where we exchanged the stiff catheter to a soft guidewire in the ascending aorta before introduction of the wire and stent valve into the LV. Conclusions:We have successively modified our standard protocol for implantation of a balloon-expandable transcatheter aortic valve. This has simplified the procedure and reduced the risk for certain procedure-related complications.

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