{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:08:29Z","timestamp":1778825309606,"version":"3.51.4"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Bleeding from large\u2010bore mechanical circulatory support catheters like Impella CP\u00ae and arterial extracorporeal membrane oxygenation (ECMO) cannulas is a significant problem with clear adverse prognosis. This study evaluated a simple mechanical strategy\u2014the Side\u2010arm Technique On Perclose (STOP)\u2014to reduce bleeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective evaluation in a series of patients managed by one operator from a community hospital with large ECMO and shock programs. The STOP method complements pre\u2010closure with Perclose sutures; it involves threading the longer \u201cblue\u201d string through a cut sheath side\u2010arm, tightening the suture around the entry site, and using the side\u2010arm stopcock for temporary wire locking and hemostasis. This pull\u2010push action tightens the suture loop around the device entry site, achieving hemostasis. Main endpoints included bleeding after STOP, leg ischemia needing intervention, and successful hemostasis at removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Results<\/jats:title>\n                    <jats:p>Among 21 patients (24 devices), all underwent pre\u2010closure with two Perclose devices. Most devices (81%) were placed in the femoral artery; five Impella CPs used the axillary approach. STOP was started post\u2010insertion or, in two cases, at bedside. No patients presented bleeding or oozing after STOP; no limb ischemia occurred. Only two required extra Perclose at decannulation (median 2 [1\u20134] days later).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The STOP method effectively prevents or controls arterial bleeding around large\u2010bore catheters, offering a straightforward, low\u2010cost solution with good results in this small cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70544","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T03:28:28Z","timestamp":1773804508000},"page":"1953-1959","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Side\u2010Arm Technique on Perclose (STOP) Hemostasis Method to Prevent Bleeding With Indwelling Large Bore Catheters; Concept and Early Results"],"prefix":"10.1002","volume":"107","author":[{"given":"St\u00e9phane","family":"Rinfret","sequence":"first","affiliation":[{"name":"Northeast Georgia Medical Center Gainesville Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga","family":"Toleva","sequence":"additional","affiliation":[{"name":"Northeast Georgia Medical Center Gainesville Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert B.","family":"Kent","sequence":"additional","affiliation":[{"name":"Sentara Williamsburg Regional Medical Center Williamsburg Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaja","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Northeast Georgia Medical Center Gainesville Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glen A.","family":"Henry","sequence":"additional","affiliation":[{"name":"Northeast Georgia Medical Center Gainesville Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaikirshan","family":"Khatri","sequence":"additional","affiliation":[{"name":"New York\u2010Presbyterian Weill Cornell Medical Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harindra C.","family":"Wijeysundera","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre University of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.731106"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-016-0196-7"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/aca.aca_22_22"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc12681"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuae040"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2024.154771"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13041167"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.980122"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa799"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/00185787231208962"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2312572"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.2459\/jcm.0000000000001727"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.25270\/jic\/23.00255"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70544","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70544","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70544","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:19:28Z","timestamp":1778822368000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70544"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ccd.70544"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70544","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,17]]},"assertion":[{"value":"2025-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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