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

Keywords

  • Arteriotomy closure device
  • brachial artery
  • case report

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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