Hemostasis After Brachial Artery Access With the MynxGrip Device: A Case Report

Arturo Giordano, Stefano Messina, Gennaro Maresca, Giuseppe Biondi-Zoccai

Research output: Contribution to journalArticle

Abstract

Purpose: Brachial access is occasionally used for endovascular procedures when other more established or safer ones (eg, femoral or radial) are contraindicated. Although manual compression is the standard of care after brachial arteriotomy, suboptimal compression may lead to bleeding or thrombosis. Arteriotomy closure devices have thus been proposed as an alternative means to achieve hemostasis after brachial arteriotomy. Yet, there is a paucity of evidence and a limited spectrum of devices suitable for brachial arteriotomy closure. We present the use of the MynxGrip closure device after brachial arteriotomy. Case: A 70-year-old gentleman underwent brachial arteriotomy followed by iliac artery stenting with a 7F compatible device. Hemostasis was then achieved with the MynxGrip device, uneventfully. Conclusions: This clinical vignette highlights the feasibility and safety of brachial use of the MynxGrip device in experienced hands, suggesting that it can represent a useful adjunct to the armamentarium of the endovascular specialist.

Original languageEnglish
JournalClinical Medicine Insights: Cardiology
Volume12
DOIs
Publication statusPublished - Feb 19 2018

Fingerprint

Brachial Artery
Hemostasis
Arm
Equipment and Supplies
Endovascular Procedures
Iliac Artery
Standard of Care
Thigh
Thrombosis
Hemorrhage
Safety

Keywords

  • Arteriotomy closure device
  • brachial artery
  • case report

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Hemostasis After Brachial Artery Access With the MynxGrip Device : A Case Report. / Giordano, Arturo; Messina, Stefano; Maresca, Gennaro; Biondi-Zoccai, Giuseppe.

In: Clinical Medicine Insights: Cardiology, Vol. 12, 19.02.2018.

Research output: Contribution to journalArticle

@article{201d2b0c99c34f0c8ab673df066300b9,
title = "Hemostasis After Brachial Artery Access With the MynxGrip Device: A Case Report",
abstract = "Purpose: Brachial access is occasionally used for endovascular procedures when other more established or safer ones (eg, femoral or radial) are contraindicated. Although manual compression is the standard of care after brachial arteriotomy, suboptimal compression may lead to bleeding or thrombosis. Arteriotomy closure devices have thus been proposed as an alternative means to achieve hemostasis after brachial arteriotomy. Yet, there is a paucity of evidence and a limited spectrum of devices suitable for brachial arteriotomy closure. We present the use of the MynxGrip closure device after brachial arteriotomy. Case: A 70-year-old gentleman underwent brachial arteriotomy followed by iliac artery stenting with a 7F compatible device. Hemostasis was then achieved with the MynxGrip device, uneventfully. Conclusions: This clinical vignette highlights the feasibility and safety of brachial use of the MynxGrip device in experienced hands, suggesting that it can represent a useful adjunct to the armamentarium of the endovascular specialist.",
keywords = "Arteriotomy closure device, brachial artery, case report",
author = "Arturo Giordano and Stefano Messina and Gennaro Maresca and Giuseppe Biondi-Zoccai",
year = "2018",
month = "2",
day = "19",
doi = "10.1177/1179546818759298",
language = "English",
volume = "12",
journal = "Clinical Medicine Insights: Cardiology",
issn = "1179-5468",
publisher = "Libertas Academica Ltd.",

}

TY - JOUR

T1 - Hemostasis After Brachial Artery Access With the MynxGrip Device

T2 - A Case Report

AU - Giordano, Arturo

AU - Messina, Stefano

AU - Maresca, Gennaro

AU - Biondi-Zoccai, Giuseppe

PY - 2018/2/19

Y1 - 2018/2/19

N2 - Purpose: Brachial access is occasionally used for endovascular procedures when other more established or safer ones (eg, femoral or radial) are contraindicated. Although manual compression is the standard of care after brachial arteriotomy, suboptimal compression may lead to bleeding or thrombosis. Arteriotomy closure devices have thus been proposed as an alternative means to achieve hemostasis after brachial arteriotomy. Yet, there is a paucity of evidence and a limited spectrum of devices suitable for brachial arteriotomy closure. We present the use of the MynxGrip closure device after brachial arteriotomy. Case: A 70-year-old gentleman underwent brachial arteriotomy followed by iliac artery stenting with a 7F compatible device. Hemostasis was then achieved with the MynxGrip device, uneventfully. Conclusions: This clinical vignette highlights the feasibility and safety of brachial use of the MynxGrip device in experienced hands, suggesting that it can represent a useful adjunct to the armamentarium of the endovascular specialist.

AB - Purpose: Brachial access is occasionally used for endovascular procedures when other more established or safer ones (eg, femoral or radial) are contraindicated. Although manual compression is the standard of care after brachial arteriotomy, suboptimal compression may lead to bleeding or thrombosis. Arteriotomy closure devices have thus been proposed as an alternative means to achieve hemostasis after brachial arteriotomy. Yet, there is a paucity of evidence and a limited spectrum of devices suitable for brachial arteriotomy closure. We present the use of the MynxGrip closure device after brachial arteriotomy. Case: A 70-year-old gentleman underwent brachial arteriotomy followed by iliac artery stenting with a 7F compatible device. Hemostasis was then achieved with the MynxGrip device, uneventfully. Conclusions: This clinical vignette highlights the feasibility and safety of brachial use of the MynxGrip device in experienced hands, suggesting that it can represent a useful adjunct to the armamentarium of the endovascular specialist.

KW - Arteriotomy closure device

KW - brachial artery

KW - case report

UR - http://www.scopus.com/inward/record.url?scp=85055210994&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85055210994&partnerID=8YFLogxK

U2 - 10.1177/1179546818759298

DO - 10.1177/1179546818759298

M3 - Article

AN - SCOPUS:85055210994

VL - 12

JO - Clinical Medicine Insights: Cardiology

JF - Clinical Medicine Insights: Cardiology

SN - 1179-5468

ER -