Comparison of Success Rate and Complications of Totally Percutaneous Decannulation in Patients With Veno-Arterial Extracorporeal Membrane Oxygenation and Endovascular Aneurysm Repair

Overview

Journal Front Med (Lausanne)

Specialty General Medicine

Date 2021 Sep 7

PMID 34490310

Citations 3

Authors

Zhenjie Liu

Yongshan Xu

Xin Xu

Minzhi He

Pan Han

Changming Shao

Yifeng Pan

Libin Zhang

Li Yin

Zhenhua Li

Man Huang

Bing Chen

Affiliations

Soon will be listed here.

Abstract

Total percutaneous closure for the site of femoral arterial puncture using Perclose ProGlide (PP) has become prevalent post-percutaneous endovascular aortic repair (EVAR) and veno-arterial extracorporeal membrane oxygenation (VA-ECMO). To evaluate the safety and efficacy of total percutaneous closure of the femoral artery access site post-EVAR compared with VA-ECMO. This was a retrospective observational study conducted over 4 years, including 88 patients who underwent EVAR (64 patients) and VA-ECMO (24 patients). Perclose ProGlide devices were used in the femoral artery puncture sites closed percutaneously. In this study, technical success was defined as successful arterial closure of the common femoral artery (CFA) without additional surgical or endovascular procedures to prevent vessel leaking. Access site complications, including overt bleeding requiring transfusion or surgical intervention, minor bleeding, tinea cruris, pseudoaneurysm, and lymphocele, were recorded 24 h and 30 days after arterial closure. Each group's technical success rates were 95.8% (VA-ECMO) and 92.2% EVAR, respectively. There were no differences in the periprocedural complications of major bleeding, pseudoaneurysm, minor bleeding, acute limb ischemia, and groin infection. Furthermore, we did not observe any complications such as arterial thrombosis, dissection, stenosis, arteriovenous fistula, hematoma, groin infection, or lymphocele at the access site by following-up an ultrasound examination. There was no significant difference in the technical success rate of percutaneous closure by the PP device in the EVAR and VA-ECMO oxygenation groups. Also, no periprocedural or 30-day complications were observed at the access site of the EVAR and VA-ECMO patients.

Citing Articles

Invention of a new percutaneous closure technique for vascular haemostasis in percutaneous veno-arterial extracorporeal membrane oxygenation.

Guanqiang L, Bo H, Yuan S, Ming C, Xicheng Z, Xianchen H Eur J Med Res. 2025; 30(1):119.

PMID: 39972385 PMC: 11837478. DOI: 10.1186/s40001-025-02307-x.

Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation.

Xu C, Xu G, Cao Y, Chen L, Jin Y Front Cardiovasc Med. 2025; 11:1522789.

PMID: 39882315 PMC: 11774842. DOI: 10.3389/fcvm.2024.1522789.

Percutaneous decannulation reduces procedure length and rates of groin wound infection in patients on venoarterial extracorporeal membrane oxygenation.

Roberts S, Schumer E, Sullivan M, Grotberg J, Jenkins B, Fischer I JTCVS Open. 2024; 18:80-86.

PMID: 38690437 PMC: 11056445. DOI: 10.1016/j.xjon.2024.01.012.

Case report: Total percutaneous post-closure of femoral arterial access sites after veno-arterial extracorporeal membrane oxygenation.

Tian L, Zhang L, Zhang N, Xu X, Xu Y, Liu Z Front Med (Lausanne). 2022; 9:980122.

PMID: 36186796 PMC: 9520057. DOI: 10.3389/fmed.2022.980122.

Extracorporeal Membrane Oxygenation-First Strategy for Acute Life-Threatening Pulmonary Embolism.

Liu Z, Chen J, Xu X, Lan F, He M, Shao C Front Cardiovasc Med. 2022; 9:875021.

PMID: 35722115 PMC: 9203845. DOI: 10.3389/fcvm.2022.875021.

References

Torsello G, Kasprzak B, Klenk E, Tessarek J, Osada N, Torsello G . Endovascular suture versus cutdown for endovascular aneurysm repair: a prospective randomized pilot study. J Vasc Surg. 2003; 38(1):78-82. DOI: 10.1016/s0741-5214(02)75454-2. View

Balzer J, Scheinert D, Diebold T, Haufe M, Vogl T, Biamino G . Postinterventional transcutaneous suture of femoral artery access sites in patients with peripheral arterial occlusive disease: a study of 930 patients. Catheter Cardiovasc Interv. 2001; 53(2):174-81. DOI: 10.1002/ccd.1144. View

Dosluoglu H, Cherr G, Harris L, Dryjski M . Total percutaneous endovascular repair of abdominal aortic aneurysms using Perclose ProGlide closure devices. J Endovasc Ther. 2007; 14(2):184-8. DOI: 10.1177/152660280701400210. View

Honda Y, Araki M, Yamawaki M, Tokuda T, Tsutumi M, Mori S . The novel echo-guided ProGlide technique during percutaneous transfemoral transcatheter aortic valve implantation. J Interv Cardiol. 2017; 31(2):216-222. DOI: 10.1111/joic.12468. View

Teh L, Sieunarine K, van Schie G, Goodman M, Prendergast F, Hartley D . Use of the percutaneous vascular surgery device for closure of femoral access sites during endovascular aneurysm repair: lessons from our experience. Eur J Vasc Endovasc Surg. 2001; 22(5):418-23. DOI: 10.1053/ejvs.2001.1495. View

Kane D, Thiagarajan R, Wypij D, Scheurer M, Fynn-Thompson F, Emani S . Rapid-response extracorporeal membrane oxygenation to support cardiopulmonary resuscitation in children with cardiac disease. Circulation. 2010; 122(11 Suppl):S241-8. DOI: 10.1161/CIRCULATIONAHA.109.928390. View

Eisenack M, Umscheid T, Tessarek J, Torsello G, Torsello G . Percutaneous endovascular aortic aneurysm repair: a prospective evaluation of safety, efficiency, and risk factors. J Endovasc Ther. 2009; 16(6):708-13. DOI: 10.1583/08-2622.1. View

Lee W, Brown M, Nelson P, Huber T . Total percutaneous access for endovascular aortic aneurysm repair ("Preclose" technique). J Vasc Surg. 2007; 45(6):1095-101. DOI: 10.1016/j.jvs.2007.01.050. View

Georgiadis G, Antoniou G, Lazarides M . Percutaneous access for endovascular aortic aneurysm repair. Potential predictors of success must be reappraised. Eur J Vasc Endovasc Surg. 2010; 41(2):295. DOI: 10.1016/j.ejvs.2010.10.013. View

10.

Sokolov A, Soldatenko M . [Changes in vascular elasticity, the role of these changes in development and progression of arterial hypertension, methodological approaches to estimation of arterial stiffness]. Patol Fiziol Eksp Ter. 2008; (3):33-6. View

11.

Mehran R, Rao S, Bhatt D, Gibson C, Caixeta A, Eikelboom J . Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the Bleeding Academic Research Consortium. Circulation. 2011; 123(23):2736-47. DOI: 10.1161/CIRCULATIONAHA.110.009449. View

12.

Malkawi A, Hinchliffe R, Holt P, Loftus I, Thompson M . Percutaneous access for endovascular aneurysm repair: a systematic review. Eur J Vasc Endovasc Surg. 2010; 39(6):676-82. DOI: 10.1016/j.ejvs.2010.02.001. View

13.

Georgiadis G, Antoniou G, Papaioakim M, Georgakarakos E, Trellopoulos G, Papanas N . A meta-analysis of outcome after percutaneous endovascular aortic aneurysm repair using different size sheaths or endograft delivery systems. J Endovasc Ther. 2011; 18(4):445-59. DOI: 10.1583/11-342.1. View

14.

Hou G, Yu K, Yin X, Wang H, Xu W, Du Z . Safety research of extracorporeal membrane oxygenation treatment on cardiogenic shock: a multicenter clinical study. Minerva Cardioangiol. 2015; 64(2):121-6. View

15.

Kim S, Kim H, Lee H, Ahn H, Lee S . Comparing extracorporeal cardiopulmonary resuscitation with conventional cardiopulmonary resuscitation: A meta-analysis. Resuscitation. 2016; 103:106-116. DOI: 10.1016/j.resuscitation.2016.01.019. View

16.

Morasch M, Kibbe M, Evans M, Meadows W, Eskandari M, Matsumura J . Percutaneous repair of abdominal aortic aneurysm. J Vasc Surg. 2004; 40(1):12-6. DOI: 10.1016/j.jvs.2004.03.019. View

17.

Lee W, Brown M, Nelson P, Huber T, Seeger J . Midterm outcomes of femoral arteries after percutaneous endovascular aortic repair using the Preclose technique. J Vasc Surg. 2008; 47(5):919-23. DOI: 10.1016/j.jvs.2007.12.029. View

18.

Schermerhorn M, Bensley R, Giles K, Hurks R, OMalley A, Cotterill P . Changes in abdominal aortic aneurysm rupture and short-term mortality, 1995-2008: a retrospective observational study. Ann Surg. 2012; 256(4):651-8. PMC: 3507435. DOI: 10.1097/SLA.0b013e31826b4f91. View

19.

Dosluoglu H, Lall P, Blochle R, Harris L, Dryjski M . Ambulatory percutaneous endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2013; 59(1):58-64. DOI: 10.1016/j.jvs.2013.06.076. View

20.

Bensley R, Hurks R, Huang Z, Pomposelli F, Hamdan A, Wyers M . Ultrasound-guided percutaneous endovascular aneurysm repair success is predicted by access vessel diameter. J Vasc Surg. 2012; 55(6):1554-61. PMC: 3358509. DOI: 10.1016/j.jvs.2011.12.042. View