Giordano Arturo, Messina Stefano, Maresca Gennaro, Biondi-Zoccai Giuseppe
Unità Operativa di Interventistica Cardiovascolare, Presidio Ospedaliero Pineta Grande, Castel Volturno, Naples, Italy.
Unità Operativa di Emodinamica, Casa di Salute Santa Lucia, S. Giuseppe Vesuviano, Italy.
Clin Med Insights Cardiol. 2018 Feb 20;12:1179546818759298. doi: 10.1177/1179546818759298. eCollection 2018.
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.
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.
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.
当其他更常用或更安全的血管通路（如股动脉或桡动脉）存在禁忌时，偶尔会采用肱动脉入路进行血管内手术。尽管手动压迫是肱动脉切开术后的标准护理方法，但压迫效果欠佳可能导致出血或血栓形成。因此，有人提出使用动脉切开闭合装置作为肱动脉切开术后实现止血的替代方法。然而，目前缺乏证据，且适用于肱动脉切开闭合的装置种类有限。我们介绍了在肱动脉切开术后使用MynxGrip闭合装置的情况。
一名70岁男性接受了肱动脉切开术，随后使用7F兼容装置进行了髂动脉支架置入术。然后使用MynxGrip装置成功实现止血，过程顺利。
这个临床案例突出了在经验丰富的医生手中，肱动脉使用MynxGrip装置的可行性和安全性，表明它可以成为血管内专家工具库中的一种有用辅助手段。
