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Percutaneous arterial closure in peripheral vascular disease: a prospective randomized evaluation of the Perclose device  B.W Starnes, MD, S.D O’Donnell,

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Presentation on theme: "Percutaneous arterial closure in peripheral vascular disease: a prospective randomized evaluation of the Perclose device  B.W Starnes, MD, S.D O’Donnell,"— Presentation transcript:

1 Percutaneous arterial closure in peripheral vascular disease: a prospective randomized evaluation of the Perclose device  B.W Starnes, MD, S.D O’Donnell, D.L Gillespie, MD, J.M Goff, MD, P Rosa, MD, M.V Parker, MD, A Chang, PhD  Journal of Vascular Surgery  Volume 38, Issue 2, Pages (August 2003) DOI: /S (03)00291-X

2 Fig 1 A, Schema of a normal duplex ultrasound scan of the right common femoral artery. Minimum intraluminal diameter was measured on proximal (B), middle (C), and distal (D) cross-sectional images after scanning through the entire artery from inguinal ligament to femoral bifurcation. E, A sagittal view was obtained for determination of calcified plaque. F, Peak systolic velocity measurements were recorded. Continued. Journal of Vascular Surgery  , DOI: ( /S (03)00291-X)

3 Fig 1 A, Schema of a normal duplex ultrasound scan of the right common femoral artery. Minimum intraluminal diameter was measured on proximal (B), middle (C), and distal (D) cross-sectional images after scanning through the entire artery from inguinal ligament to femoral bifurcation. E, A sagittal view was obtained for determination of calcified plaque. F, Peak systolic velocity measurements were recorded. Continued. Journal of Vascular Surgery  , DOI: ( /S (03)00291-X)

4 Fig 2 Representative sagittal and transverse B-mode images of both anterior and posterior plaque (A) or posterior plaque only (B). Note that minimum intraluminal diameter in the artery with posterior plaque only was 0.28 cm. Both incisions were successfully closed with a percutaneous suture-mediated closure device, without subsequent procedure-related complications. The presence of plaque was not associated with increased risk for complications. Journal of Vascular Surgery  , DOI: ( /S (03)00291-X)

5 Fig 3 Overall time to hemostasis, ambulation, and discharge in 102 patients who received either a suture-mediated closure device (SMCD) or manual compression (MC). Journal of Vascular Surgery  , DOI: ( /S (03)00291-X)

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