Abstract 12685: Feasibility and Safety of Vascular Closure Devices After Undergoing Leadless Pacemaker Implantation

Abstract

Introduction: Transcatheter pacing systems have recently emerged as a safe and effective alternative in treating patients who require right ventricular pacing therapy. Traditionally, the right femoral venous was the preferred insertion site for the 23 French Micra introducer catheter due to the manufactured design of the delivery system. Vascular closure of the venous access has been performed with figure 8 closure technique and manual pressure . There is no data supporting the use of closure devices in this specific procedure. The purpose of this study was to assess the feasibility and safety of vascular closure devices after undergoing implantation of the leadless pacemaker device. Methods: One hundred and eighty ( 180 ) consecutive patients who had undergone implantation of a Micra transcatheter pacing were evaluated. One hundred and sixty eight ( 168 ) patients had traditional vascular closure after implantation and twelve ( 12 ) received the Perclose vascular closure device for the femoral venous access . A t-test analysis was used to compare patient demographics total procedure times and complications rates Results: None of the 180 patients suffered complications during the procedure. The mean procedure time using the traditional figure eight technique was 21.24 min versus 30.67 min (P = 0.01) by the closure device . The mean number of recaptures required for the patients undergoing the traditional venous closure was 0.48 vs. 0.67 (P = 0.70) by the closure device Conclusions: The Perclose device appears safe and feasible alternative for the vascular closure after implantation of the Micra transcatheter leadless pacemaker system. This approach tends to have longer procedure times