Читать книгу Interventional Cardiology - Группа авторов - Страница 59

Exoseal (Cordis, Bridgewater, NJ) is a passive closure device that consists of deployment of a polyglycolic acid plug (absorbed within 90 days) over the arteriotomy site for hemostasis. The system is delivered through 5–7 Fr sheaths. The minimum diameter of the femoral artery is 5 mm for closure. Time to achieve hemostasis and ambulation appears to be lower than with manual compression. Access through the same site requires a delay of at least 30 days.

Femoseal (St. Jude Medical Systems, Uppsala, Sweden) comprises a bioabsorbable polymer anchor plate that remains inside the artery and an outer disk. After procedural sheath removal, the anchor seal is deployed within the artery while the outer locking disk is placed on the outer wall of the artery. The arteriotomy is sandwiched between the two disks and held together by a bioabsorbable multifilament.