Successful Use of the MYNXGRIP Closure Device during Repeated Transbrachial Percutaneous Peripheral Intervention

Hertting, Klaus; Raut, Werner

doi:10.1155/2015/346506

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Previous studies have also shown the safety and efficacy of the MynxGrip vascular closure device in adults, 8,10,16 but there is no evidence for the safety and efficacy of MynxGrip in the pediatric population where manual compression is the standard of care.…”

Section: Discussionmentioning

confidence: 99%

MynxGrip vascular closure device use in pediatric neurointerventional procedures

Shokuhfar¹,

Hurley

Al-Smadi³

et al. 2018

Journal of Neurosurgery: Pediatrics

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OBJECTIVEThe aim of this paper was assess the efficacy and safety of using the MynxGrip arterial closure device in pediatric neuroendovascular procedures where the use of closure devices remains off-label despite their validation and widespread use in adults.METHODSA retrospective review of all pediatric patients who underwent diagnostic or interventional neuroendovascular procedures at the authors’ institution was performed. MynxGrip use was predicated by an adequate depth of subcutaneous tissue and common femoral artery (CFA) diameter. Patients remained on supine bedrest for 2 hours after diagnostic procedures and for 3 hours after therapeutic procedures. Patient demographics, procedural details, hemostasis status, and complications were recorded.RESULTSOver 36 months, 83 MynxGrip devices were deployed in 53 patients (23 male and 30 female patients; mean age 14 years) who underwent neuroendovascular procedures. The right-side CFA was the main point of access for most procedures. The mean CFA diameter was 6.24 mm and ranged from 4 mm to 8.5 mm. Diagnostic angiography comprised 46% of the procedures. A single device failure occurred without any sequelae; the device was extracted, and hemostasis was achieved by manual compression with the placement of a Safeguard compression device. No other immediate or delayed major complications were recorded.CONCLUSIONSMynxGrip can be used safely in the pediatric population for effective hemostasis and has the advantage of earlier mobilization.

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Section: Discussionmentioning

confidence: 99%

MynxGrip vascular closure device use in pediatric neurointerventional procedures

Shokuhfar¹,

Hurley

Al-Smadi³

et al. 2018

Journal of Neurosurgery: Pediatrics

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“…Our case is in agreement with other anecdotal evidence on the use of the MynxGrip to achieve hemostasis after a low (mid forearm) left brachial artery access in a patient with critical limb ischemia). 15 Accordingly, this device can be envisioned for brachial arteriotomy closure, provided an accurate front wall puncture is made and meticulous technique is employed when using the MynxGrip. Indeed, duplex ultrasound guidance and control can be a useful adjunct to maximize the safety of this device, especially when experience with it is more limited.…”

Section: Discussionmentioning

confidence: 99%

Hemostasis After Brachial Artery Access With the MynxGrip Device: A Case Report

Giordano

Messina

Maresca

et al. 2018

Clin Med Insights Cardiol

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Purpose:Brachial access is occasionally used for endovascular procedures when other more established or safer ones (eg, femoral or radial) are contraindicated. Although manual compression is the standard of care after brachial arteriotomy, suboptimal compression may lead to bleeding or thrombosis. Arteriotomy closure devices have thus been proposed as an alternative means to achieve hemostasis after brachial arteriotomy. Yet, there is a paucity of evidence and a limited spectrum of devices suitable for brachial arteriotomy closure. We present the use of the MynxGrip closure device after brachial arteriotomy.Case:A 70-year-old gentleman underwent brachial arteriotomy followed by iliac artery stenting with a 7F compatible device. Hemostasis was then achieved with the MynxGrip device, uneventfully.Conclusions:This clinical vignette highlights the feasibility and safety of brachial use of the MynxGrip device in experienced hands, suggesting that it can represent a useful adjunct to the armamentarium of the endovascular specialist.

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“…Access site closure: manual compression is the most commonly accepted and reported method. Various VCDs have been reported 68–70. The largest series, a retrospective analysis of the Angio-Seal device (St Jude Medical, St Paul, Minnesota, USA), reported major and minor complication rates of 3.1% and 7.5%, respectively 71.…”

Section: Transbrachial Arterial Accessmentioning

confidence: 99%

Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee

Starke

Snelling

Al‐Mufti

et al. 2019

J NeuroIntervent Surg

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The purpose of this publication is to provide a comprehensive review on the techniques and tools used for vascular access in neurointerventional procedures. Using published literature, we reviewed data on access methods, sites, tools, and techniques for neurointerventions. Recommendations are provided based on quality of data/levels of evidence and, where appropriate, expert consensus. While tools and techniques continue to be developed, current literature and experience supports certain principles regarding vascular access for neurointerventional procedures.

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Successful Use of the MYNXGRIP Closure Device during Repeated Transbrachial Percutaneous Peripheral Intervention

Cited by 3 publications

References 17 publications

MynxGrip vascular closure device use in pediatric neurointerventional procedures

MynxGrip vascular closure device use in pediatric neurointerventional procedures

Hemostasis After Brachial Artery Access With the MynxGrip Device: A Case Report

Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee

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