Vascular Closure
Devices
What is a Closure Device
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Vascular closure devices seal the
puncture site in an artery (the
arteriotomy) through mechanical
means rather than relying on the
body’s natural clotting response.
What was used before the advent
of closure devices?
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Prior to closure devices, manual
compression was used, a labor-intensive
practice that requires a healthcare
provider to press firmly on the puncture
site or apply a C-clamp until the bleeding
stops.
Additional disadvantages of this technique
include patient discomfort and
immobilization, increased time-todischarge, and bed rest restrictions of
usually 4-24 hours.
Types of Closure Devices
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FemoStop
Chito-Seal
VasoSeal
PerClose
Duett
Star Close
FemoStop
A pressure dome is placed over the vessel
puncture site in the groin. The belt is
placed around the patient. The dome
applies a mechanical pressure over the
vessel puncture site to induce hemostasis.
The pressure of the dome is controlled by
the reusable pump and the manometer.
The arch and the belt provide counter
pressure for the dome.
Femoral Compression Device
FemoStop
Chito-Seal™
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Chito-Seal™
Potent
Hemostatic Agent
Consists of
positively charged
molecules that
attract negatively
charged red blood
cells and platelets
Used with clamp or
manual
compression
VasoSeal
How vasoseal works
VasoSeal
VasoSeal
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Delivers collagen to the outside surface of
the vessel
collagen reabsorbs over a six-week period
does not leave anything inside the artery,
do not increase the size of the arterial
puncture,
No surgical suturing after the procedure.
Vaso-Seal in uses
PerClose
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Sutures use to close the artery
Not dependent upon clot formation
and can be used with anticoagulated
patients
PerClose in uses
Duett
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The small balloon at the end of the catheter will
be inflated and pulled back against the inside of
your femoral artery to temporarily stop bleeding
from the puncture site.
The liquid procoagulant (a “glue-like” substance)
will then be delivered on top of the puncture site
to permanently seal it.
The Duett Pro catheter and sheath will be
removed, and after a few minutes of light
pressure, the puncture site will be sealed.
Duett
Deutt in uses
StarClose
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StarClose features
a Nitinol(TM) clip
that is designed to
grab the outside of
the artery and
promote closure
StarClose