Percutaneous salvage of a failed 14F suture-mediated femoral closure using dual collagen-mediated vascular closure devices.

Transcatheter aortic valve replacement is performed via percutaneous femoral access; however, vascular complications can occur owing to the use of large-bore sheaths. We describe a novel technique for managing a failed suture-mediated percutaneous closure of a 14F arteriotomy using two collagen-based closure devices. We achieved hemostasis without loss of access and avoided an open surgical repair. This highlights the utility of dual MYNX (MYNX vascular closure device) as a rescue strategy for closing large diameter arteriotomies. Our experience suggests that this technique may be a salvage option in cases of suture-mediated closure failure, avoiding open repair.