Percutaneous Salvage of a Failed 14F Suture-Mediated Femoral Closure Using Dual Collagen-Mediated Vascular Closure Devices

Transcatheter aortic valve replacement is performed via percutaneous femoral access; however, vascular complications can occur due to the use of large-bore sheaths.We describe a novel technique for managing a failed suture-mediated percutaneous closure of a 14F arteriotomy using two collagen-based closure devices.We achieved hemostasis without loss of access and avoided an open surgical repair.This highlights the utility of dual MYNX TM (MYNX TM vascular closure device; Cardinal Health, Dublin, OH, USA) as a rescue strategy for closing large diameter arteriotomies.Our experience suggests this technique may be a salvage option in cases of suturemediated closure failure, avoiding open repair.