Use of the MANTA Device in Percutaneous Closure of Graft Puncture

Abstract

Percutaneous closure for large bore access has been primarily accomplished with suture based vascular closure devices (VCDs), such as the Perclose Proglide device (Abbott Vascular). Many patients undergoing transcatheter aortic valve replacement (TAVR) present with severe peripheral artery disease and implanted aortofemoral bypass grafts. Femoral access through a graft can be accomplished with small sheaths, but there is minimal literature describing percutaneous closure in synthetic bypass grafts with large bore sheaths.