检索结果-南通市图书馆

Pledget-assisted hemostasis to fix residual access-site bleedings after double pre-closure technique

World Journal of Cardiology 2022年第5期14卷 297-306页

作者： Francesco Burzotta Cristina Aurigemma Mila Kovacevic Enrico Romagnoli Stefano Cangemi Francecso Bianchini Marialisa Nesta Piergiorgio Bruno carlo trani Dipartimento di Scienze Cardiovascolari Fondazione Policlinico Universitario A Gemelli IRCCSRome 00168Italy UniversitàCattolica del Sacro Cuore Rome 00168Italy Faculty of Medicine University of Novi SadNovi SadSerbia Institute of Cardiovascular Diseases of Vojvodina Cardiology ClinicSremska KamenicaSerbia

BACKGROUND The use of pre-closure suture-based devices represents a widely access-site hemostasis technique in percutaneous transfemoral transcatheter-aortic-valvereplacement(TF-TAVR);yet this technique is associated with the risk of a device failure that may result in clinically relevant residual ***,a bailout intervention is *** far,the best management of pre-closure device failure has not been *** To report the first clinical results obtained using a novel bailout hemostasis technique for patients with double suture-based vascular closure device failure in the setting of *** We developed a“pledget-assisted hemostasis”technique to manage residual access-site *** consists of the insertion of a surgical,non-absorbable,polytetrafluoroethylene pledget over the sutures of the two ProGlide(Abbott Vascular,CA,United States).The ProGlide’s knot-pushers are used to push down the pledget and the hand-made slipknot to seal the femoral artery *** technique was used as a bailout strategy in patients undergoing TF-TAVR with a systematic double pre-closure ***-procedural access-site angiography was systematically ***-hospital complications were systematically detected and classified according to Valve Academic Research Consortium-2 *** Out of 136 consecutive patients who underwent TF-TAVR,15 patients(mean age 80.0±7.2 years,66.7%female)with access-site bleeding after double pre-closure technique failure were treated by pledget-assisted *** the majority of patients,16F sheath was used(n=12;80%).In 2 cases(13%),a peripheral balloon was also inflated in the iliac artery to limit blood loss during pledget ***-confirmed hemostasis(primary efficacy endpoint)was achieved in all *** the procedure,1 patient required blood transfusion(2 units),and no other bleeding or major ischemic complication was *** The“pledget assisted hemostasis”might be con

关键词： Transcatheter aortic valve replacement Transcatheter aortic valve implantation Vascular complications Preclosure device Pledget Hemostasis Personalized medicine

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Percutaneous management of vascular access in transfemoral transcatheter aortic valve implantation

引用

World Journal of Cardiology 2014年第8期6卷 836-846页

作者： Ilaria Dato Francesco Burzotta carlo trani Filippo Crea Gian Paolo Ussia Institute of Cardiology Catholic University of the Sacred Heart00168 RomeItaly Department of Cardiovascular Disease Tor Vergata University00133 RomeItaly

Transcatheter aortic valve implantation(TAVI) using stent-based bioprostheses has recently emerged as a promising alternative to surgical valve replacement in selected patients. The main route for TAVI is retrograde access from the femoral artery using large sheaths(16-24 F). Vascular access complications are a clinically relevant issue in TAVI procedures since they are reported to occur in up to one fourth of patients and are strongly associated with adverse outcomes. In the present paper, we review the different types of vascular access site complications associated with transfemoral TAVI. Moreover, we discuss the possible optimal management strategies with particular attention to the relevance of early diagnosis and prompt treatment using endovascular techniques.

关键词： Transfemoral transcatheter aortic valve implantation Vascular access complication Percutaneous management

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：