The electrophysiologists (EPs) performing atrial fibrillation ablations may choose the Perclose™ ProStyle™ SMCR System for greater efficiency in the EP lab. Among vascular closure devices, Perclose™ ProStyle™ closure can offer benefits for the EP lab including:
The Perclose™ ProStyle™ vascular closure device has the broadest indication* for venous and arterial sheaths. In addition, this VCD also has a proven and trusted track record from more than 12 million repairs for over 25 years.3
Prior to adopting Perclose™ ProStyle™ SMCR System, EPs completing an atrial fibrillation ablation or other procedures may find that patients require:
The Perclose™ ProStyle™ closure device transforms an otherwise lengthy patient recovery to a much shorter recovery time, which in turn leads to a positive patient experience:
†Time to Ambulation: Per the IFU, patients may be ambulated 2 hours after the Perclose™ ProStyle™ SMCR System procedures using 5-8F sheaths. For sheaths > 8F, ambulation time is at the physician’s discretion.
The rapid time to haemostasis allows EPs to verify the status of the closure while the patient is still under their care, enhancing confidence in the entire procedure from access to closure. Moreover, it’s potentially beneficial to the EP lab and hospital staff when patients are quickly ambulating, freeing up beds, and discharged the same day.
Sumit Verma, MD, an electrophysiologist from Baptist Heart and Vascular Institute, describes how that center altered its atrial fibrillation ablation protocol by implementing same-day discharge. He discusses how this strategy has the potential to reduce the complication rates, minimise resource use, and enable cost savings—all while enhancing patient satisfaction.13
See more Perclose™ clinical data showing EP lab efficiency.
The use of Perclose™ ProStyle™ Suture-Mediated Closure and Repair System can help:
SOURCE: S. Verma. Adopting a Strategy of Early Ambulation and Same-Day Discharge for Atrial Fibrillation Ablation Cases - EP Lab Digest - May 2019.
The Perclose™ ProStyle™ closure device achieves rapid haemostasis of femoral access sites by approximating the edges of the vessel wall with a surgical suture. The benefits of suture-mediated repair include promoting primary intention healing with less scarring14 and decreased time to haemostasis, ambulation, and patient discharge.15,16
Each of these brief videos offers details of multiple device deployment using Perclose™ closure devices.
AFib RF Ablation with 4x Venous Access Sites
Brett Gidney, MD, Santa Barbara, U.S.
AFib RF Ablation with 4x Venous Access Sites
Hemanth Ramanna, MD, The Hague, The Netherlands
2x Large-Bore Vascular Closure
Magnus Settergren, MD, Solna, Sweden
More case video recordings are available, with physicians offering additional details about their use of the Perclose ProGlide™ device.
Using a VCD has several advantages given the following factors during EP procedures such as AF ablations:
All of these issues are mitigated when using the Perclose™ ProStyle™ closure device.
Yes, Same-Day Discharge has been shown to be safe, and it is being used to reduce the total cost of care and to enhance the patient experience. The use of vessel closure devices makes it possible for hospitals to implement Same-Day Discharge.13,17,18
With the Perclose™ ProStyle™ device you can achieve and confirm complete haemostasis on the table with a suture-mediated repair of the access site. Other advantages of the Perclose ProStyle™ SMCR System include:
The Perclose ProStyle™ closure device is indicated for use with:
No, there is only one Perclose™ ProStyle™ SMCR System. Multiple Perclose™ ProStyle™ devices can be used, if necessary, for large-bore vascular closure.
Because this device achieves immediate and durable hemostasis, patients can be mobilised and ambulated after approximately two hours (at the physician's discretion). Some facilities have successfully implemented a Same-Day Discharge strategy when using the Perclose ProGlide™ SMC System.
For more details you can read a recent EP Lab Digest article by Sumit Verma, MD, or you can view a Perclose ProGlide™ video featuring Brett Gidney, MD.
It achieves haemostasis by approximating the edges of the vessel wall with a surgical suture, allowing primary intention healing to begin. Primary intention healing minimises scarring and allows for immediate reaccess if needed.
Contact your local Abbott representative for a training opportunity.
This is a personal preference. Some operators use caudal to cranial approach—or vice versa—to keep the process consistent.
You can also view one or more physician case recordings using multiple sheaths.
The "Pre-Close" Technique involves the Perclose™ ProStyle™ suture being placed around the access site before the index procedure, and it is required before using sheath sizes > 8F.
See Deployment and Instructions for Use for additional information.
Each Perclose™ ProStyle™ device has a polypropylene monofilament suture with a pre-formed knot which has a tensile strength high enough to approximate the edges of the vessel wall. This suture can snap with quick and jerky movements. You can avoid suture break with the use of slow, consistent, increasing tension.
Visit the official Perclose™ ProStyle™ website for more information on the features, deployment, clinical data, Perclose™ ProStyle™ videos, and ordering information related to Perclose™ ProStyle™ SMCR System.
*As compared to Angio-Seal,‡ ExoSeal,‡ FemoSeal,‡ InClosure,‡ MANTA,‡ Mynx,‡ PerQseal,‡ Vascade,‡ Velox CD,‡ X-Seal‡. Data on file at Abbott.
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