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Home > Press Center > Preclose Proglide Show Success for Totally Percutaneous Access

Contact:
Emily Kalata
Assistant Director, Communications
312.334.2309

A study published in the June 2007 issue of the Journal for Vascular Surgery reports that totally percutaneous access for endovascular abdominal (EVAR) and thoracic aortic repairs (TEVAR) are safe and feasible using the Perclose Proglide™ device.

Researchers from the division of vascular surgery and endovascular therapy at the University of Florida in Gainesville noted that using Proglide™ with larger sheaths in a select group of patients showed higher technical success rate (94.6 percent) than historically reported when using the Prostar XL device.

“Percutaneous access during endovascular aneurysm repair has been difficult due to the large size of the delivery catheters,” said W. Anthony Lee, MD, associate professor of surgery. “Although the success rates are slightly higher for smaller size sheaths, we found that successful closures may be obtained for up to 24F sheaths.”

Dr. Lee added that EVAR and TEVAR aortic repairs typically involve sheaths and delivery catheters which are beyond the treatable range of arteriotomies of most closure devices.

Between December 2004 and August 2006, a total of 262 endovascular aortic aneurysm repairs were performed with percutaneous access. The technique involved deployment of two Proglide™ devices prior to insertion of the sheath with the sutures left extracorporeally for closure following conclusion of the procedure (Preclose Technique). A total of 559 Proglide™ devices were used to close 279 femoral arteries. Of those, 175 femoral arteries required insertion of 18-24F sheaths (6.7-8.6 mm outer diameter).

For EVAR and TEVAR repairs, the success rates when using 12-16F sheaths were higher than for the larger 18-24F sheaths (99 vs. 91.4 percent). Also, the Preclose technique resulted in shorter overall procedure times as compared to a similar cohort using open femoral exposures (EVAR, 115 vs. 128 and TEVAR, 80 vs. 112). 

“However,” said Dr. Lee, “although we were successful when using the larger sheaths, and despite this reduction of procedure time and potential savings on the cost of operating room time offered by use of smaller sheaths, the overall savings was diminished by the price of the Proglide™ device at $295.”

“To our knowledge the study represents the largest series of percutaneous endovascular aortic repairs using the Preclose technique and the first using the Proglide™ device,” said Dr. Lee.