Application of ProGlide pre-close technique in establishment of percutaneous venoarterial extracorporeal membrane oxygenation

  AIM   To evaluate the feasibility and safety of per-close technique for achieving vascular hemostasis using the ProGlide system in patients undergoing venoarterial extracorporeal membrane oxygenation (VA-ECMO).

  METHODS  The study subjects were 32 consecutive patients with V-A ECMO between March 2019 and June 2020, in whom pre-close technique was used to achieve hemostasis at the puncture site using a ProGlide system. Technique success rate and the incidence of vascular complications at puncture site were recorded until their discharge.

  RESULTS  The pre-close technique was performed in 32 patients. The technique success rate in the femoral artery was 97% and in the femoral vein was 100%. One patient required the use of Angioseal device for femoral artery to achieve hemostasis after weaning from ECMO. The rate of procedure-related minor vascular complications was 6%. Two patients were found with hematoma by ultrasound in the femoral artery access site. No major vascular complications occurred during the periprocedural period.

  CONCLUSION  This study indicates that the ProGlide pre-close technique is safe and efficacious in achieving hemostasis, whether in femoral artery or in vein after weaning from VA-ECMO.