Torque device suture technique to achieve hemostasis in large-bore venous access

Research output: Contribution to journalArticle

Brian Karahalios, Stephanie F. Rojas, Rahul Singh, Miguel C. Cavazos, Ponraj Chinnadurai, Chun Huie Lin

Objectives: To describe and compare a novel technique using a torque device to manage figure-of-eight suture tension for venous access hemostasis in patients who have undergone atrial septal defect (ASD) or patent foramen ovale (PFO) closure. Background: Large bore venous access has become increasingly important in transcatheter procedures, but management of hemostasis can be time-consuming and/or resource intensive. As such, various techniques have sought to provide cost effective and safe alternatives to manual compression. We describe a modification of the figure-of-eight suture technique wherein we apply a torque device to manage variable suture tension instead of tying a knot and compare it to the standard figure-of-eight suture technique. Methods: We performed a retrospective study of 40 consecutive patients who underwent ASD or PFO closure, 20 of whom underwent standard figure-of-eight technique and 20 of whom underwent figure-of-eight with torque device modification. Bleeding Academic Research Consortium definitions were used to categorize bleeding events. Results: The groups were similar in age, gender, weight, aspirin use, platelet count, procedure time, hemoglobin, and international normalized ratio. Standard figure-of-eight suture had seven patients with bleeding, with six classified as BARC II and one as BARC I. Figure-of-eight plus torque device had three patients with bleeding, with two classified BARC II and one as BARC I. There were no incidences of hematoma in either group. Conclusion: The torque device suture technique is a unique modification of the figure-of-eight suture technique to achieve venous hemostasis. In addition, the modification allows secure and variable suture tension as well as easy removal by nursing staff.

Original languageEnglish (US)
Pages (from-to)722-725
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume95
Issue number4
DOIs
StatePublished - Mar 1 2020

PMID: 31854083

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Standard

Torque device suture technique to achieve hemostasis in large-bore venous access. / Karahalios, Brian; Rojas, Stephanie F.; Singh, Rahul; Cavazos, Miguel C.; Chinnadurai, Ponraj; Lin, Chun Huie.

In: Catheterization and Cardiovascular Interventions, Vol. 95, No. 4, 01.03.2020, p. 722-725.

Research output: Contribution to journalArticle

Harvard

Karahalios, B, Rojas, SF, Singh, R, Cavazos, MC, Chinnadurai, P & Lin, CH 2020, 'Torque device suture technique to achieve hemostasis in large-bore venous access' Catheterization and Cardiovascular Interventions, vol. 95, no. 4, pp. 722-725. https://doi.org/10.1002/ccd.28657

APA

Karahalios, B., Rojas, S. F., Singh, R., Cavazos, M. C., Chinnadurai, P., & Lin, C. H. (2020). Torque device suture technique to achieve hemostasis in large-bore venous access. Catheterization and Cardiovascular Interventions, 95(4), 722-725. https://doi.org/10.1002/ccd.28657

Vancouver

Karahalios B, Rojas SF, Singh R, Cavazos MC, Chinnadurai P, Lin CH. Torque device suture technique to achieve hemostasis in large-bore venous access. Catheterization and Cardiovascular Interventions. 2020 Mar 1;95(4):722-725. https://doi.org/10.1002/ccd.28657

Author

Karahalios, Brian ; Rojas, Stephanie F. ; Singh, Rahul ; Cavazos, Miguel C. ; Chinnadurai, Ponraj ; Lin, Chun Huie. / Torque device suture technique to achieve hemostasis in large-bore venous access. In: Catheterization and Cardiovascular Interventions. 2020 ; Vol. 95, No. 4. pp. 722-725.

BibTeX

@article{0755b39950e248cb8e2d3db507d2c689,
title = "Torque device suture technique to achieve hemostasis in large-bore venous access",
abstract = "Objectives: To describe and compare a novel technique using a torque device to manage figure-of-eight suture tension for venous access hemostasis in patients who have undergone atrial septal defect (ASD) or patent foramen ovale (PFO) closure. Background: Large bore venous access has become increasingly important in transcatheter procedures, but management of hemostasis can be time-consuming and/or resource intensive. As such, various techniques have sought to provide cost effective and safe alternatives to manual compression. We describe a modification of the figure-of-eight suture technique wherein we apply a torque device to manage variable suture tension instead of tying a knot and compare it to the standard figure-of-eight suture technique. Methods: We performed a retrospective study of 40 consecutive patients who underwent ASD or PFO closure, 20 of whom underwent standard figure-of-eight technique and 20 of whom underwent figure-of-eight with torque device modification. Bleeding Academic Research Consortium definitions were used to categorize bleeding events. Results: The groups were similar in age, gender, weight, aspirin use, platelet count, procedure time, hemoglobin, and international normalized ratio. Standard figure-of-eight suture had seven patients with bleeding, with six classified as BARC II and one as BARC I. Figure-of-eight plus torque device had three patients with bleeding, with two classified BARC II and one as BARC I. There were no incidences of hematoma in either group. Conclusion: The torque device suture technique is a unique modification of the figure-of-eight suture technique to achieve venous hemostasis. In addition, the modification allows secure and variable suture tension as well as easy removal by nursing staff.",
keywords = "closure, figure-of-eight, venous hemostasis",
author = "Brian Karahalios and Rojas, {Stephanie F.} and Rahul Singh and Cavazos, {Miguel C.} and Ponraj Chinnadurai and Lin, {Chun Huie}",
year = "2020",
month = "3",
day = "1",
doi = "10.1002/ccd.28657",
language = "English (US)",
volume = "95",
pages = "722--725",
journal = "Catheterization and Cardiovascular Interventions",
issn = "1522-1946",
publisher = "Wiley",
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}

RIS

TY - JOUR

T1 - Torque device suture technique to achieve hemostasis in large-bore venous access

AU - Karahalios, Brian

AU - Rojas, Stephanie F.

AU - Singh, Rahul

AU - Cavazos, Miguel C.

AU - Chinnadurai, Ponraj

AU - Lin, Chun Huie

PY - 2020/3/1

Y1 - 2020/3/1

N2 - Objectives: To describe and compare a novel technique using a torque device to manage figure-of-eight suture tension for venous access hemostasis in patients who have undergone atrial septal defect (ASD) or patent foramen ovale (PFO) closure. Background: Large bore venous access has become increasingly important in transcatheter procedures, but management of hemostasis can be time-consuming and/or resource intensive. As such, various techniques have sought to provide cost effective and safe alternatives to manual compression. We describe a modification of the figure-of-eight suture technique wherein we apply a torque device to manage variable suture tension instead of tying a knot and compare it to the standard figure-of-eight suture technique. Methods: We performed a retrospective study of 40 consecutive patients who underwent ASD or PFO closure, 20 of whom underwent standard figure-of-eight technique and 20 of whom underwent figure-of-eight with torque device modification. Bleeding Academic Research Consortium definitions were used to categorize bleeding events. Results: The groups were similar in age, gender, weight, aspirin use, platelet count, procedure time, hemoglobin, and international normalized ratio. Standard figure-of-eight suture had seven patients with bleeding, with six classified as BARC II and one as BARC I. Figure-of-eight plus torque device had three patients with bleeding, with two classified BARC II and one as BARC I. There were no incidences of hematoma in either group. Conclusion: The torque device suture technique is a unique modification of the figure-of-eight suture technique to achieve venous hemostasis. In addition, the modification allows secure and variable suture tension as well as easy removal by nursing staff.

AB - Objectives: To describe and compare a novel technique using a torque device to manage figure-of-eight suture tension for venous access hemostasis in patients who have undergone atrial septal defect (ASD) or patent foramen ovale (PFO) closure. Background: Large bore venous access has become increasingly important in transcatheter procedures, but management of hemostasis can be time-consuming and/or resource intensive. As such, various techniques have sought to provide cost effective and safe alternatives to manual compression. We describe a modification of the figure-of-eight suture technique wherein we apply a torque device to manage variable suture tension instead of tying a knot and compare it to the standard figure-of-eight suture technique. Methods: We performed a retrospective study of 40 consecutive patients who underwent ASD or PFO closure, 20 of whom underwent standard figure-of-eight technique and 20 of whom underwent figure-of-eight with torque device modification. Bleeding Academic Research Consortium definitions were used to categorize bleeding events. Results: The groups were similar in age, gender, weight, aspirin use, platelet count, procedure time, hemoglobin, and international normalized ratio. Standard figure-of-eight suture had seven patients with bleeding, with six classified as BARC II and one as BARC I. Figure-of-eight plus torque device had three patients with bleeding, with two classified BARC II and one as BARC I. There were no incidences of hematoma in either group. Conclusion: The torque device suture technique is a unique modification of the figure-of-eight suture technique to achieve venous hemostasis. In addition, the modification allows secure and variable suture tension as well as easy removal by nursing staff.

KW - closure

KW - figure-of-eight

KW - venous hemostasis

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UR - http://www.scopus.com/inward/citedby.url?scp=85077053798&partnerID=8YFLogxK

U2 - 10.1002/ccd.28657

DO - 10.1002/ccd.28657

M3 - Article

VL - 95

SP - 722

EP - 725

JO - Catheterization and Cardiovascular Interventions

T2 - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

IS - 4

ER -

ID: 60156539