MynxGrip for Closure of Antegrade Puncture After Peripheral Interventions With Same-Day Discharge. (February 2017)

• Record Type: Journal Article
• Authors: Pruski, Maciej J.; Blachut, Aleksandra M.; Konkolewska, Magda; Janas, Adam; Hrycek, Eugeniusz; Buszman, Piotr P.; Kiesz, Radoslaw S.
• Is Part Of: Vascular & endovascular surgery. Volume 51:Number 2(2017)
• Page Start: 67
• Page End: 71
• Publication Date: 2017-02
• Subjects: endovascular procedures -- peripheral arterial disease -- vascular closure devices; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574416689424
• Languages: English
• ISSNs: 1538-5744

Abstract

Background: This was the first prospective study to assess the safety and efficiency of MynxGrip vascular closure device (VCD) in peripheral interventions with antegrade access. Methods and Results: We enrolled 66 consecutive patients from 1 center. All patients were discharged home on the day of procedure and were observed for adverse events at 1 and 30 days of follow-up. No major complications were observed. The rate of minor complications (conversion to manual or mechanical compression) was 7.6%. Postdischarge, 3% of patients experienced minor complications—small abscess, ipsilateral deep vein thrombosis. In 1 patient, a second VCD was deployed after device failure. The derived device failure rate was 5.9%. No patients required hospitalization. No late bleeding and no hematomas >6 cm were noted. The mean time to discharge was 4 hours and 5 minutes. Conclusion: The MynxGrip was safe and effective in sealing access sites after antegrade femoral artery puncture with same-day discharge.