Perclose Proglide™ for Vascular Closure

Abstract

In the past 20 years, numerous percutaneous vascular closure devices have been tested and compared with manual compression and to surgical cut-down. The suture-mediated closure device Perclose ProGlide™ system (Abbott Vascular, CA, USA) emerged as a safe and effective alternative for many procedures requiring either small or large bore vascular accesses. In this review, we will discuss the characteristics of this vascular closure device and the main studies that proved its potential to reduce vascular complications, time to deambulation, time to discharge and patient discomfort.

Case report: Total percutaneous post-closure of femoral arterial access sites after veno-arterial extracorporeal membrane oxygenation

“…This technique has been verified to be a convenient, safe, and effective procedure for repairing arteriotomy sites in quite a bit of procedures (11), including endovascular aortic repair (EVAR) and other percutaneous treatments. These devices may increase the risk of groin infection and leg ischemia but decrease the time needed to achieve hemostasis (4).…”

“…As vascular complications following decannulation, to improve patient outcomes after percutaneous decannulation, cannula removal techniques, particularly a standardized procedural technique with a suitable closure device are essential. The ProGlide ( 4 ) (Abbott Vascular Inc., Redwood, California) is a suture-based closure device that deploys a suture on either side of the arterial wall at the arteriotomy site, mimicking open surgical closure, designed to access created by large-bore catheters, stopping the blood flow. Since it is a mechanical closure, there are theoretically no limitations to re-access or the administration of antiplatelet and anticoagulant.…”

Iatrogenic Common Femoral Artery Occlusion Caused by a Suture-Mediated Closure System: A Case Report

“…Therefore, it is important to check the presence of claudication and the dorsalis pedis artery pulse after using ProGlide. 2,7,8) The treatments of stenosis or occlusion with the use of ProGlide is reported to be surgical angioplasty and catheter treatment with balloon angioplasty or stent implantation. [3][4][5][6]8) Although there is no consensus on the treatment of occlusion using VCDs, there are many reports about successful catheter treatment.…”

“… 1 , 7 , 8 ) In addition, it is important to place the foot in close contact with the anterior arterial wall by pulling up the device. 7 , 8 ) In this case, the anterior and posterior feet of ProGlide were deployed each against the anterior and posterior walls of the CFA, respectively. Because the device was pulled at a shallow angle, the feet of the device deformed the CFA and blocked the blood flow.…”

“…Therefore, it is important to check the presence of claudication and the dorsalis pedis artery pulse after using ProGlide. 2 , 7 , 8 )…”