【精编】雅培ProGlide 血管缝合器课件.pptVIP

* 1 As we mentioned earlier, the suture bearing providing a small amount of tension during device removal. Although the use of monofilament suture has reduced the amount of friction during, the operator may feel a small pop as they retract the device. It is important to deliberately remove the device to insure that the knot is deployed as close to the arteriotomy as possible. The closer the knot is to the artery, the easier the knot management. * 1 We now teach what is known as the “Double-Load” technique. This technique reduces the number of steps required to achieve hemostasis, causes less irritation to the skin tract (less manipulation and exchanges) and reduces the potential for suture breaks. * 1 * 1 * 1 Testing the security of the close at the table is crucial. Only with StarClose and ProGlide are you able to test hemostasis immediately at the table. This is important for 2 reasons. One, you can assure the operator that you have a good close before they leave the lab. It is at this point that you could tighten the suture if you needed to. It is better to find out a problem now before the patient leaves the room and be able to address it rather than find out the problem later with complications. Secondly, only with primary healing can you verify security without jeopardizing the closure. * 1 Make sure that the operator advance all the way down to the arteriotomy. * 1 Make sure that the operator advance all the way down to the arteriotomy. * 1 Foot Deployment Lift lever to deploy foot Retract device a) until tactile sensation of foot against anterior wall of artery b) cessation of mark occurs * ProGlide Overview April 2007 LT2925874 Needle Deployment Depress plunger until collar meets body * ProGlide Overview April 2007 LT2925874 Suture Removal Plunger withdrawal * ProGlide Overview April 2007 LT2925874 Foot Parking * ProGlide Overview April 2007 LT2925874 Suture Presentation Deliberately retract device until GW exit port is at skin level Harvest suture limbs