Abstract
Brachial artery access is a good alternative for performing percutaneous transluminal angioplasty when femoral access is contraindicated or not feasible. Although several closure devices are available for femoral access, haemostasis for brachial artery access is still achieved by manual compression with several potential complications, such as bleeding, pseudo-aneurysm formation, especially in patients in which heparin is administered, or thrombotic vessel occlusion. This first-in-human report describes the off-label brachial use of the Cardiva Boomerang™, a novel vascular closure device, which provides haemostasis using a temporary intravascular tampon, thus permitting the easier physiological closure of the puncture site without any important complications.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
De Luca G, Suryapranata H, Marino P (2008) Reperfusion strategies in acute ST-elevation myocardial infarction: an overview of current status. Prog Cardiovasc Dis 50(5):352–382
Serruys PW, De Jaegere P, Kiemeneij F, Macaya C, Rutsch W, Heyndrickx G, Emanuelsson H, Marco J, Legrand V, Materne P (1994) A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. Benestent Study Group. N Engl J Med 331:489–495
Kaul S, Shah PK, Diamond GA (2007) As time goes by: current status and future directions in the controversy over stenting. J Am Coll Cardiol 50:128–137
Cirillo P, De Rosa S, Di Palma V, De Rosa R, Maietta P, Piscione F, Chiariello M (2009) Different vascular response to concurrent implantation of sirolimus- and zotarolimus-eluting stents in the same vessel. Heart Vessels 24:313–316
Kaukanen ET, Manninen HI, Matsi PJ, Soder HK (1997) Brachial artery access for percutaneous renal artery interventions. Cardiovasc Intervent Radiol 20(5):353–358
Semler HJ (1985) Transfemoral catheterization: mechanical versus manual control of bleeding. Radiology 154:234–235
Grollman JH Jr, Marcus R (1988) Transbrachial arteriography: techniques and complications. Cardiovasc Intervent Radiol 11:32–35
Inglese L, Lupattelli T, Carbone GL, Palmisano D, Musto C, Mollichelli N, Medda M (2004) Axillary artery access for interventional procedures. J Endovasc Ther 11:414–418
Heenan SD, Grubnic S, Buckenham TM, Belli AM (1996) Transbrachial arteriography: indications and complications. Clin Radiol 51:205–209
Jolly SS, Amlani S, Hamon M, Yusuf S, Metha SR (2009) Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am Heart J 157(1):132–140
Puggioni A, Boesmans E, Deloose K, Peeters P, Bosiers M (2008) Use of StarClose for brachial artery closure after percutaneous endovascular interventions. Vascular 16(2):85–90
Kahn ZM, Kumar M, Hollander G, Frankel R (2002) Safety and efficacy of the Perclose suture mediated closure device after diagnostic and interventional catheterizations in a large consecutive population. Catheter Cardiovasc Interv 55:14–15
Belenky A, Aranovich D, Greif F, Bachar G, Bartal G, Atar E (2007) Use of a collagen-based device for closure of low brachial artery punctures. Cardiovasc Intervent Radiol 30:273–275
Hon LQ, Ganeshan A, Thomas SM, Warakaulle D, Jagdish J, Uberoi R (2008) An overview of vascular closure devices: what every radiologist should know. Eur J Radiol 73:181–190
Doyle BJ, Godfrey MJ, Lennon RJ, Ryan JL, Bresnahan JF, Rihal CS, Ting HH (2007) Initial experience with the Cardiva Boomerang vascular closure device in diagnostic catheterization. Catheter Cardiovasc Interv 69(2):203–208
Seltzer S, Alejos JC, Levi DS (2009) Experience with the Cardiva Boomerang Catalyst system in pediatric cardiac catheterization. Catheter Cardiovasc Interv 74:476-481
Allie DE, Smalling R, Hebert CJ, Walker CM (2006) The costs of VAM complications. Endovasc Today 5:2–6
Sasaki Y, Hwang MW, Shirasawa K, Takeda S, Ayukawa H, Inenaga-Kitaura K, Rei T, Kitaura Y, Kawai C (2008) Stenting for superficial femoral artery atherosclerotic occlusion: long-term follow-up results. Heart Vessels 23:264–270
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cirillo, P., Petrillo, G., D’Ascoli, G.L. et al. Successful use of the Cardiva Boomerang™ vascular closure device to close a brachial artery puncture site after emergency PTCA. Heart Vessels 25, 565–568 (2010). https://doi.org/10.1007/s00380-010-0003-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00380-010-0003-6