Bibliographic Details
| Title: |
The "Woggle" Technique for Venous Access Site Management: An Old Technique for a New Need. |
| Authors: |
Tumminello, Gabriele, Barbieri, Lucia, Avallone, Carlo, Bellissimo, Nello, Mircoli, Luca, Colombo, Federico, Vicenzi, Marco, Ruscica, Massimiliano, Carugo, Stefano |
| Source: |
Journal of Clinical Medicine; Sep2023, Vol. 12 Issue 18, p6087, 8p |
| Subject Terms: |
ARTERIAL puncture, PLATELET aggregation inhibitors, CARDIOVASCULAR system |
| Abstract: |
Background: Several closure devices are routinely used for percutaneous arterial access, while a relatively low number is available for the management of large bore venous accesses. The Woggle technique is a modification of the purse-string suture which was introduced several years ago in patients undergoing hemodialysis. Methods: A population of 45 patients who underwent transvenous femoral structural heart interventions was retrospectively evaluated. The Woggle technique consists of a purge string suture with a collar to maintain the tension as stable over time and a suture lock to tighten the suture. Results: Sheaths magnitude ranged from 8 French (F) to 14 F. A rapid post-procedural hemostasis was achieved in the whole population, and in 95% of cases, definite hemostasis was obtained after the first single release; the mean time of release was 302 ± 83 min. Although no relevant bleedings were reported, a significant reduction in hemoglobin levels was found in the whole population. This decrement was statistically significant only in the group with sheaths higher than 12 F. A single mild local hematoma was recorded in the group in which smaller sheaths were used. Seventy-two percent of patients were pre-treated with a dual antiplatelet therapy. Conclusions: The Woggle technique has shown to be a simple, effective, and safe approach for the management of large bore venous in percutaneous structural heart interventions. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
