{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:01:10Z","timestamp":1782000070008,"version":"3.54.5"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,11,24]],"date-time":"2024-11-24T00:00:00Z","timestamp":1732406400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,11,24]],"date-time":"2024-11-24T00:00:00Z","timestamp":1732406400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Despite the evidence supporting the use of Perclose Proglide\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (PP) suture-mediated vascular closure devices in various clinical scenarios, limited evidence exists regarding its role in percutaneous arterial closure of the femoral artery after venoarterial extracorporeal membrane oxygenation (VA-ECMO). Compared to conventional methods, this study evaluates the effectiveness and complications of bedside percutaneous femoral artery closure using Perclose ProGlide (PP) for VA-ECMO decannulation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective cohort of consecutive patients managed with mechanical circulatory support VA-ECMO for refractory cardiogenic shock, who survived decannulation between January 2017 and August 2023. A comparison between PP and other decannulation strategies was established to evaluate the effectiveness and procedure-related complications of bedside percutaneous femoral artery closure using a PP with a post-closure technique compared to conventional approaches of surgical and manual decannulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 122 patients decannulated from VA-ECMO with a mean age of 48.6\u2009\u00b1\u200913.1 and 78 (63.9) males, 49.2% comprised the PP group. Despite the older age (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021) and higher prevalence of arterial hypertension (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.045), the PP group had a larger number of patients free from decannulation-related adverse events. Additionally, a higher haemoglobin level 24\u2009h post decannulation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047), with no difference in terms of transfusion of red blood cells between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.263) was found. The pseudoaneurysm was the most frequently reported complication, while the arterial cannulation surgical wound site infection was only documented in the open repair subgroup. A trend towards reduced Intensive Care (ICU) and hospital length of stay after decannulation was noted, although it did not reach statistical significance. There was no difference in mortality between both groups and no procedure-related deaths occurred. A mean of 2.7 PP devices were required to achieve complete haemostasis in the PP cohort, where technical failure was documented in four cases (6.7%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Bedside Percutaneous decannulation of VA-ECMO using a PP device with a post-closure technique is safe and reliable for achieving effective haemostasis, with fewer vascular complications than conventional approaches and a low device failure rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298241300119","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T01:41:37Z","timestamp":1732498897000},"page":"1651-1660","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Assessment of percutaneous closure for decannulation of veno-arterial extracorporeal membrane oxygenation: A retrospective study"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6709-4420","authenticated-orcid":false,"given":"Diana","family":"Martins-Fernandes","sequence":"first","affiliation":[{"name":"Department of Emergency and Intensive Care Medicine, S\u00e3o Jo\u00e3o University Hospital Centre, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Rocha-Neves","sequence":"additional","affiliation":[{"name":"Department of Biomedicine \u2013 Unity of Anatomy, Faculty of Medicine, University of Porto, Porto, Portugal"},{"name":"RISE@Health, Rua Dr. Pl\u00e1cido da Costa, s\/n, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Rita","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Emergency and Intensive Care Medicine, S\u00e3o Jo\u00e3o University Hospital Centre, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9lio","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Emergency and Intensive Care Medicine, S\u00e3o Jo\u00e3o University Hospital Centre, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9rgio","family":"Gai\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Emergency and Intensive Care Medicine, S\u00e3o Jo\u00e3o University Hospital Centre, Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Artur","family":"Paiva","sequence":"additional","affiliation":[{"name":"Department of Emergency and Intensive Care Medicine, S\u00e3o Jo\u00e3o University Hospital Centre, Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000002128"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001510"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001432"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2023.154434"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.05.019"},{"key":"e_1_3_2_7_2","first-page":"6","article-title":"Femoral arterial closure using ProGlide\u00ae is more efficacious and cost-effective when ambulating early following cardiac catheterization","volume":"13","author":"Sekhar A","year":"2016","unstructured":"Sekhar A, Sutton BS, Raheja P, et al. Femoral arterial closure using ProGlide\u00ae is more efficacious and cost-effective when ambulating early following cardiac catheterization. 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Comparison of percutaneous closure versus surgical femoral cutdown for decannulation of large-sized arterial and venous access sites in adults after successful weaning of veno-arterial extracorporeal membrane oxygenation. 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