Use of the Perclose ProGlide device with the 9 French Merci retrieval system

Neuroradiology
Kennith F LaytonDavid F Kallmes

Abstract

Closure devices are commonly used in neurointerventional procedures to achieve groin hemostasis. These devices are particularly useful in procedures requiring anticoagulation and larger catheters. The suture-mediated Perclose ProGlide device is intended for use with 5F to 8F sheaths. We describe the use of the ProGlide device with 9F sheaths in acute stroke treatment using the Merci retrieval device. The ProGlide device is advanced over a wire until the wire exit port is at the skin surface. The wire is removed and the device is advanced until pulsatile blood flow is encountered. The footplates are opened and the stitch is deployed. The footplates are then closed and the device is removed. After advancing the suture to the vessel, it is locked and trimmed. Firm pressure is necessary during deployment to prevent oozing around the device. If continued bleeding is encountered, direct manual pressure is used to achieve hemostasis. We have successfully used the Perclose ProGlide device in four patients following the Merci retriever without groin or extremity complication. The Perclose ProGlide device can be successfully used after placement of a 9F system in patients who have undergone mechanical thrombectomy. This technique may be ...Continue Reading

References

Aug 22, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A D Michaels, T A Ports
Mar 21, 2002·Annals of Vascular Surgery·Elizabeth S RachelRichard A Mitchell
Jul 23, 2004·AJR. American Journal of Roentgenology·Denis J GradinscakDoungkamol Sindhusake
Jun 18, 2005·Stroke; a Journal of Cerebral Circulation·Wade S SmithUNKNOWN MERCI Trial Investigators

❮ Previous
Next ❯

Citations

Jul 14, 2010·Journal of Vascular Surgery·Carlos F BecharaPeter H Lin
Jul 27, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Shunsaku GotoKyozo Kato

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.