Prospective Audit of “Post-Close” Haemostasis Following Large Bore Femoral Arterial Punctures: A Second Look at the Double Angio-Seal Technique

INTRODUCTION: This study aimed to prospectively audit the efficacy of the post-close technique for the achievement of haemostasis following large bore femoral arterial punctures. REPORT: Twenty-five consecutive patients (16 males, 9 females, mean age 73.3 [SD 9.6] years) underwent aortoiliac or peripheral arterial interventions via large bore femoral arterial punctures from 2017 to the present. Given previous success with closing 12F defects with a single 8F Angio-Seal, only those defects closed using a double wire set up and double Angio-Seal deployments were assessed. DISCUSSION: A total of 60 Angio-Seal VCDs were deployed using standard double wire preparation in 30 groins for haemostasis in 30 corresponding large bore femoral punctures. This second round audit reinforces the post-close technique using two Angio-Seal VCDs as the author's choice of femoral arterial closure up to 16F. It also provides some early insight into using this approach in redo groins.