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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.


Related in: MedlinePlus

Retrieval of the inner blocking balloon of the MYNXGRIP and of the sheath towards the puncture site. Note the slight shift between the sheath and the blocking balloon indicating appropriate wall contact.
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Related In: Results  -  Collection


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fig2: Retrieval of the inner blocking balloon of the MYNXGRIP and of the sheath towards the puncture site. Note the slight shift between the sheath and the blocking balloon indicating appropriate wall contact.

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)

Retrieval of the inner blocking balloon of the MYNXGRIP and of the sheath towards the puncture site. Note the slight shift between the sheath and the blocking balloon indicating appropriate wall contact.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig2: Retrieval of the inner blocking balloon of the MYNXGRIP and of the sheath towards the puncture site. Note the slight shift between the sheath and the blocking balloon indicating appropriate wall contact.
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.


Related in: MedlinePlus