| Title: |
The 'Woggle' Technique for Venous Access Site Management: An Old Technique for a New Need |
| Authors: |
Tumminello, Gabriele; Barbieri, Lucia; Avallone, Carlo; Bellissimo, Nello; Mircoli, Luca; Colombo, Federico; Vicenzi, Marco; Ruscica, Massimiliano; Carugo, Stefano |
| Contributors: |
G. Tumminello; L. Barbieri; C. Avallone; N. Bellissimo; L. Mircoli; F. Colombo; M. Vicenzi; M. Ruscica; S. Carugo |
| Publisher Information: |
MDP |
| Publication Year: |
2023 |
| Collection: |
The University of Milan: Archivio Istituzionale della Ricerca (AIR) |
| Subject Terms: |
large bore venous acce; percutaneous closure vascular system; percutaneous structural heart intervention; Settore MED/04 - Patologia Generale; Settore MED/11 - Malattie dell'Apparato Cardiovascolare |
| 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. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/37763027; info:eu-repo/semantics/altIdentifier/wos/WOS:001073977900001; volume:12; issue:18; firstpage:1; lastpage:8; numberofpages:8; journal:JOURNAL OF CLINICAL MEDICINE; https://hdl.handle.net/2434/1004989 |
| DOI: |
10.3390/jcm12186087 |
| Availability: |
https://hdl.handle.net/2434/1004989; https://doi.org/10.3390/jcm12186087 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.3ABCC553 |
| Database: |
BASE |