Key principles of successful large bore vascular access and closure: TAVI and beyond

Sponsored by Abbott

Anchorperson: D. Milasinovic

Spokesperson: F. De Marco

Summary

This session explores suture-mediated vascular closure techniques, particularly for TAVI and large-bore venous access.

Through real-world clinical case, speakers highlight the value of ultrasound and CT imaging for precise puncture planning and complication avoidance.

Detailed steps for arterial closure with ProGlide device are provided, with technical tips on angle, incision size, and managing difficult anatomies like obesity or calcified vessels.

Venous closure strategies differ due to anatomy, but through different studies including the SAFE-VEIN trial, ProGlide is shown to offer safer and faster outcomes than traditional sutures, with lower time to hemostasis and ambulation.

The session underscores improved safety, hemostasis, and ambulation using tailored, image-guided closure techniques.

Learning Objectives

To learn the key steps of echo-guided puncture and pre-closure
To understand the mechanisms of suture-mediated vascular closure
To discuss tips and tricks for successful vascular closure in different clinical scenarios

Speaker

D. Milasinovic

Welcome and session objectives

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Speaker

F. De Marco

Adapting the suture-mediated closure technique for venous system

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