Using the Perclose Proglide device for femoral vein closure after MitraClip implantation significantly reduced intensive care unit stay compared to manual compression (59.4 vs 84.6 hours, p<0.005).
Observational (n=80)
Does a suture-mediated closure device improve haemostasis and reduce ICU stay compared to manual compression in patients undergoing percutaneous MitraClip implantation?
Using a suture-mediated closure device for femoral vein access after MitraClip implantation is feasible, safe, and significantly reduces ICU length of stay.
Absolute Event Rate: 59.4% vs 84.6%
p-value: p=<0.005
AIMS: We assessed feasibility, efficacy and safety of a suture-mediated closure device, Perclose Proglide (Abbott Vascular Devices, Santa Clara, CA, USA), for closure of the femoral vein access after percutaneous MitraClip (Abbott Vascular Devices) implantation. METHODS AND RESULTS: Venous access of 80 consecutive patients undergoing percutaneous mitral valve repair using the MitraClip device was managed either by manual compression, "figure eight" suture and compression bandage for 12 hours, or by applying the Proglide device for haemostasis after the procedure (40 patients each group). Patients with Proglide closure showed complete immediate haemostasis in 92.5% (37/40) and were immobilised with a compression bandage for only four hours. In the Proglide group, one arteriovenous fistula was observed and had to be treated by vascular surgery. The overall duration of stay on an intensive care unit was significantly reduced in the Proglide group (59.4±48.9 hours vs. 84.6±59.5 hours, p<0.005). CONCLUSIONS: Using a suture-mediated closure device for the femoral vein after percutaneous MitraClip implantation is feasible and safe. This allows earlier patient mobilisation and may reduce post-interventional duration of stay on an intensive care unit.
Geis et al. (Sun,) conducted a observational in Percutaneous mitral valve repair using the MitraClip device (n=80). Perclose Proglide suture-mediated closure device vs. Manual compression, figure eight suture and compression bandage was evaluated on Overall duration of stay on an intensive care unit (hours) (p=<0.005). Using the Perclose Proglide device for femoral vein closure after MitraClip implantation significantly reduced intensive care unit stay compared to manual compression (59.4 vs 84.6 hours, p<0.005).