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The “Woggle” Technique for Venous Access Site Management: An Old Technique for a New Need

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 u...

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Autores principales: Tumminello, Gabriele, Barbieri, Lucia, Avallone, Carlo, Bellissimo, Nello, Mircoli, Luca, Colombo, Federico, Vicenzi, Marco, Ruscica, Massimiliano, Carugo, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10532262/
https://www.ncbi.nlm.nih.gov/pubmed/37763027
http://dx.doi.org/10.3390/jcm12186087
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author Tumminello, Gabriele
Barbieri, Lucia
Avallone, Carlo
Bellissimo, Nello
Mircoli, Luca
Colombo, Federico
Vicenzi, Marco
Ruscica, Massimiliano
Carugo, Stefano
author_facet Tumminello, Gabriele
Barbieri, Lucia
Avallone, Carlo
Bellissimo, Nello
Mircoli, Luca
Colombo, Federico
Vicenzi, Marco
Ruscica, Massimiliano
Carugo, Stefano
author_sort Tumminello, Gabriele
collection PubMed
description 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.
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spelling pubmed-105322622023-09-28 The “Woggle” Technique for Venous Access Site Management: An Old Technique for a New Need Tumminello, Gabriele Barbieri, Lucia Avallone, Carlo Bellissimo, Nello Mircoli, Luca Colombo, Federico Vicenzi, Marco Ruscica, Massimiliano Carugo, Stefano J Clin Med Article 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. MDPI 2023-09-20 /pmc/articles/PMC10532262/ /pubmed/37763027 http://dx.doi.org/10.3390/jcm12186087 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tumminello, Gabriele
Barbieri, Lucia
Avallone, Carlo
Bellissimo, Nello
Mircoli, Luca
Colombo, Federico
Vicenzi, Marco
Ruscica, Massimiliano
Carugo, Stefano
The “Woggle” Technique for Venous Access Site Management: An Old Technique for a New Need
title The “Woggle” Technique for Venous Access Site Management: An Old Technique for a New Need
title_full The “Woggle” Technique for Venous Access Site Management: An Old Technique for a New Need
title_fullStr The “Woggle” Technique for Venous Access Site Management: An Old Technique for a New Need
title_full_unstemmed The “Woggle” Technique for Venous Access Site Management: An Old Technique for a New Need
title_short The “Woggle” Technique for Venous Access Site Management: An Old Technique for a New Need
title_sort “woggle” technique for venous access site management: an old technique for a new need
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10532262/
https://www.ncbi.nlm.nih.gov/pubmed/37763027
http://dx.doi.org/10.3390/jcm12186087
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