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Successful Use of the MYNXGRIP Closure Device during Repeated Transbrachial Percutaneous Peripheral Intervention.

Hertting K, Raut W - Case Rep Vasc Med (2015)

Bottom Line: The use of closure devices after transbrachial arterial puncture is still controversial.Here we report on a case where the MYNXGRIP (AccessClosure Inc., Santa Clara, CA, USA) could be used successfully in a patient, who underwent percutaneous peripheral arterial intervention twice via transbrachial access.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology and Angiology, Krankenhaus Buchholz, 21244 Buchholz in der Nordheide, Germany.

ABSTRACT
The use of closure devices after transbrachial arterial puncture is still controversial. Here we report on a case where the MYNXGRIP (AccessClosure Inc., Santa Clara, CA, USA) could be used successfully in a patient, who underwent percutaneous peripheral arterial intervention twice via transbrachial access.

No MeSH data available.


Angiography of the left brachial artery at the end of the first procedure after placement of a 6F-10 cm sheath.
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Related In: Results  -  Collection


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fig1: Angiography of the left brachial artery at the end of the first procedure after placement of a 6F-10 cm sheath.

Mentions: The 90 cm sheath was then exchanged for a 10 cm 6F sheath. Subsequently, an angiography has been performed after intra-arterial application of 200 μg nitroglycerin [Figure 1]. The balloon of the MYNXGRIP was prepared using a mixture of contrast-dye and saline to allow visualization during the placement. The device was inserted into the sheath and the balloon inflated and slowly withdrew towards the puncture site under fluoroscopic surveillance [Figure 2]. After confirming appropriate wall contact the MYNXGRIP sealant was applied according to the instructions for use. Finally, after confirmation of hemostasis, the puncture site was covered by a small dressing avoiding extensive compression of the artery. Radial and ulnar pulse proved to be strongly palpable. After procedure the patient received a loading dose of 600 mg clopidogrel and then 75 mg daily.


Successful Use of the MYNXGRIP Closure Device during Repeated Transbrachial Percutaneous Peripheral Intervention.

Hertting K, Raut W - Case Rep Vasc Med (2015)

Angiography of the left brachial artery at the end of the first procedure after placement of a 6F-10 cm sheath.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4563070&req=5

fig1: Angiography of the left brachial artery at the end of the first procedure after placement of a 6F-10 cm sheath.
Mentions: The 90 cm sheath was then exchanged for a 10 cm 6F sheath. Subsequently, an angiography has been performed after intra-arterial application of 200 μg nitroglycerin [Figure 1]. The balloon of the MYNXGRIP was prepared using a mixture of contrast-dye and saline to allow visualization during the placement. The device was inserted into the sheath and the balloon inflated and slowly withdrew towards the puncture site under fluoroscopic surveillance [Figure 2]. After confirming appropriate wall contact the MYNXGRIP sealant was applied according to the instructions for use. Finally, after confirmation of hemostasis, the puncture site was covered by a small dressing avoiding extensive compression of the artery. Radial and ulnar pulse proved to be strongly palpable. After procedure the patient received a loading dose of 600 mg clopidogrel and then 75 mg daily.

Bottom Line: The use of closure devices after transbrachial arterial puncture is still controversial.Here we report on a case where the MYNXGRIP (AccessClosure Inc., Santa Clara, CA, USA) could be used successfully in a patient, who underwent percutaneous peripheral arterial intervention twice via transbrachial access.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology and Angiology, Krankenhaus Buchholz, 21244 Buchholz in der Nordheide, Germany.

ABSTRACT
The use of closure devices after transbrachial arterial puncture is still controversial. Here we report on a case where the MYNXGRIP (AccessClosure Inc., Santa Clara, CA, USA) could be used successfully in a patient, who underwent percutaneous peripheral arterial intervention twice via transbrachial access.

No MeSH data available.