A Novel Technique for Augmented Hemostasis After Perclose Deployment: Tamponade on Perclose–Hemostasis Augmentation Technique (TOP-HAT)

Abstract

Background: With the advent of advanced structural procedures and circulatory devices, large-bore access has become increasingly common. However, vascular access site complications present serious prognostic risks. While suture-based and collagen-based devices have been described for vascular closure, these techniques require maintenance of wire access. Aims and Methods: We present a novel technique for achieving hemostasis once wire access has been lost and the perclose (standard suture-based device) has been deployed, utilizing a collagen plug; Tamponade On Perclose; Hemostasis Augmentation Technique (TOPHAT). Results and Conclusion: We have utilized this technique at a single center with multiple users at different levels of expertise without any complications to date.