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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR 2025; 09(02): 78-84
DOI: 10.1055/s-0045-1806863
Original Article

Ultrasound-Guided Percutaneous Lower Brachial Artery Access Closure Using a Suture-Mediated Closure Device: A Single-Center Experience in 23 Cases

Krishna Prasad Bellam Premnath  ‡   *
1   Department of Radiology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, United Kingdom
,
Mohd Shariq  ‡   *
1   Department of Radiology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, United Kingdom
,
Shady Hegab 
1   Department of Radiology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, United Kingdom
,
Ahmed Saleh 
1   Department of Radiology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, United Kingdom
,
Mahmoud Elsakhawy 
1   Department of Radiology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, United Kingdom
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Funding None.
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Abstract

Purpose

The aim of the study was to evaluate the efficacy and safety of ultrasound-guided suture-based ProGlide/ProStyle closure device for brachial artery access closure after interventional radiology procedures.

Methods

A modified technique of ProGlide/ProStyle percutaneous suture deployment with ultrasound guidance was used for brachial artery access closure (23 procedures in 21 patients) between June 2019 and June 2024. The only exclusion criterion was a brachial artery diameter of less than 4 mm. The primary outcome measure was the incidence of reintervention from device failure and the secondary outcome measure was the incidence of brachial access site complications. Ultrasound appearances of the brachial artery immediately and 1 day after access site closure were documented, and clinically followed up 60 days after access site closure.

Results

There was successful closure in all arteries, and none required access site reintervention. There were no major vascular complications in any of our cases. There were no major access site–related complications. Ten of 23 (43.5%) cases showed vasospasm cranial to the closure site on ultrasound, which disappeared on the follow-up ultrasound performed the day after access site closure.

Conclusion

This novel ultrasound-guided ProGlide/ProStyle deployment for brachial vascular closure is efficacious and safe.

Keywords

brachial access - Perclose ProGlide/ProStyle - suture-mediated closure device

Compliance with Ethical Standards

This research adheres to the principles of the Helsinki Declaration and the institutional guidelines. Informed consent was obtained from all participants in this study.


Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


Approval was obtained from Health Research Authority (IRAS project ID: 331849; REC reference: 24/HRA/0117).


* Both Krishna Prasad Bellam Premnath and Mohd Shariq contributed equally to the study and share first authorship.




Publikationsverlauf

Artikel online veröffentlicht:
09. April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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