Invention of a New Percutaneous Closure Technique for Vascular Haemostasis in Percutaneous Veno-arterial Extracorporeal Membrane Oxygenation

Overview

Journal Eur J Med Res

Publisher Biomed Central

Specialty General Medicine

Date 2025 Feb 19

PMID 39972385

Authors

Li Guanqiang

Hu Bo

Sun Yuan

Chen Ming

Zhang Xicheng

Huang Xianchen

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the feasibility and safety of a novel closure technique, namely the parallel closure technique (Par-CT), in which the sheath is placed parallel to the ProGlide system during veno-arterial extracorporeal membrane oxygenation (VA-ECMO) to enhance the efficiency of percutaneous vascular haemostasis.

Methods: The abdominal aortas of goats were punctured with a 17F sheath to simulate arterial cannula vascular access for VA-ECMO, and the Par-CT was used to achieve vascular haemostasis. In five goats, the abdominal aorta was punctured with a 17F sheath and then a 6 to 10F vascular sheath was introduced. This resulted in a smaller vascular rupture area and successful closure of the aortic rupture using the Par-CT.

Results: If the sheath tube that was introduced was < 8 F, the puncture site could not be closed and would therefore have to be resutured and the Par-CT would have to be repeated. However, the puncture site could be sutured appropriately if the sheath tube that was introduced was ≥ 8F.

Conclusions: This study suggested that the Par-CT is both safe and effective for haemostasis after weaning from VA-ECMO.

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