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

Clinical Medicine Insights. Cardiology
Arturo GiordanoGiuseppe G Biondi-Zoccai

Abstract

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. 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. 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.

References

Sep 1, 1997·Cardiovascular and Interventional Radiology·E T KaukanenH K Söder
May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·D L Kulick, D E Rediker
Oct 1, 2014·Vascular and Endovascular Surgery·Aleem K H MirzaJean M Panneton
Jun 14, 2015·Techniques in Vascular and Interventional Radiology·Kyungmouk Steve Lee, Thomas A Sos
Jun 14, 2015·Techniques in Vascular and Interventional Radiology·Rahul A Sheth, Suvranu Ganguli
Jul 18, 2016·Techniques in Vascular and Interventional Radiology·Geogy VatakencherryChristopher Molloy
Jan 26, 2017·The New England Journal of Medicine·Frederic S ResnicMichael E Matheny
Apr 24, 2017·Journal of Vascular Surgery·Randall W FranzJoseph W Herrmann

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Citations

Oct 13, 2020·Seminars in Interventional Radiology·Micah M Watts

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

MynxGrip

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