1. EVALUATION OF VASCULAR CLOSURE DEVICES OUCOMES IN LARGE-BORE ENDOVASCULAR INTERVENTIONS
Main Article Content
Abstract
Background: In endovascular interventions, achieving an adequately sized vascular access is crucial. However, vascular closure remains challenging, carrying a risk of complications. The use of ProGlide for closing small access sites has shown promising results. But, what are the outcomes of using ProGlide for large-bore access closure?
Objectives: Evaluation of vascular closure device (ProGlide) outcomes in large - bore endovascular interventions.
Method: A cross-sectional descriptive study of 36 cases of ProGlide use for vascular closure in large-bore endovascular interventions from 1/2023 to 1/2025 at Thong Nhat Hospital.
Results: 36 cases, mean age 58.23; male 63.6%, female 36.4%. Target artery lesions requiring intervention: abdominopelvic artery 38.9%, abdominal aorta 50%. Femoral artery disease (TASC II A and B was 55.6%. Combined femoral access 36.1%. ProGlide 100% anterior closure type; operation time 3.4 minutes; hemostasis time 4.2 minutes; blood loss 10.3 ml; device success was 80.6%. Complications: intravascular thrombosis 22.3%; bleeding 16.7%; ProGlide suture rupture 5.6%. No deaths related to ProGlide device.
Conclusion: Using ProGlide gives short hemostasis time, patients recover mobility early. Applying ProGlide device to close large access vessels gives positive results, can be applied.
Article Details
Keywords
Vascular closure, large access, intervention.
References
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