Closure of Large Percutaneous Access Sites Using the Prostar XL Percutaneous Vascular Surgery Device

Abstract

Purpose: To report early experience using a vascular closure device following endovascular aortic aneurysmal repair in which large-bore sheaths are used. Technique: A 10F Prostar XL Percutaneous Vascular Surgery device is used to deploy sutures around sheath entry sites up to 16F. At the completion of the procedure, the sutures are tied with a sliding knot to ensure adequate hemostasis. Conclusions: Maintaining the minimal invasiveness of the percutaneous approach to aortic endografting reduces patient discomfort and permits earlier ambulation and hospital discharge. Initial success seems to be maintained at 1 month, however, longer follow-up will be required.