Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
A Novel Technique for Augmented Hemostasis After Perclose Deployment: Tamponade on Perclose-Hemostasis Augmentation Technique (TOP-HAT).
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Ahmad Khansa, Khan Sahoor A, Gadey Gautam, Piemonte Thomas C
Аннотация
BACKGROUND: With the advent of advanced structural procedures and circulatory devices, large-bore access has become increasingly common. However, vascular access site complications present serious prognostic risks. While suture-based and collagen-based devices have been described for vascular closure, these techniques require maintenance of wire access.
AIMS AND METHODS: We present a novel technique for achieving hemostasis once wire access has been lost and the perclose (standard suture-based device) has been deployed, utilizing a collagen plug; Tamponade On Perclose; Hemostasis Augmentation Technique (TOPHAT).
RESULTS AND CONCLUSION: We have utilized this technique at a single center with multiple users at different levels of expertise without any complications to date.
AIMS AND METHODS: We present a novel technique for achieving hemostasis once wire access has been lost and the perclose (standard suture-based device) has been deployed, utilizing a collagen plug; Tamponade On Perclose; Hemostasis Augmentation Technique (TOPHAT).
RESULTS AND CONCLUSION: We have utilized this technique at a single center with multiple users at different levels of expertise without any complications to date.