Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure device
To the Editor, In cardiac surgery intensive care unit (CICU) the use of short-term mechanical circulatory support is increasingly common, such as venoarterial extracorporeal membrane oxygenation (VA-ECMO). The implantation of this device is almost always peripheral and involves the cannulation of a...
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2025-08-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
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| author | Emilio Arbas Redondo, Sandra Ofelia Rosillo Rodríguez, Clara Ugueto Rodrigo, Juan Caro Codón, Alfonso Jurado Román, Raúl Moreno |
| author_facet | Emilio Arbas Redondo, Sandra Ofelia Rosillo Rodríguez, Clara Ugueto Rodrigo, Juan Caro Codón, Alfonso Jurado Román, Raúl Moreno |
| author_sort | Emilio Arbas Redondo, |
| collection | DOAJ |
| description | To the Editor, In cardiac surgery intensive care unit (CICU) the use of short-term mechanical circulatory support is increasingly common, such as venoarterial extracorporeal membrane oxygenation (VA-ECMO). The implantation of this device is almost always peripheral and involves the cannulation of a large-bore femoral arterial access. For this reason, vascular complications are a very common finding in patients on peripheral VA-ECMO1 with decannulation being one of the most critical moments. Currently, there are 2 types of vascular closure devices widely used in the cath lab: suture-based devices, such as the ProGlide (Abbott Vascular, United States), and collagen plug devices, such as the Angio-Seal (Terumo Corporation, Japan) and the Manta (Teleflex, United States). The latter has been specifically designed for the closure of large-bore arteriotomies using an intra-arterial anchoring system and an extra-arterial collagen plug, and is marketed in 2 different sizes: 14-Fr (for 10-14-Fr introducer sheaths and holes with an external diameter of up to 18-Fr) and 18-Fr (for 15-18-Fr introducer sheaths and holes with an external diameter of up to 25-Fr). Evidence in the field of structural heart procedures with the Manta device is very extensive2 and there is increasing experience in closing the arterial access of mechanical circulatory support systems,3,4... |
| format | Article |
| id | doaj-art-30ea62af6176465f91a592cd4e9c2b3b |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-08-01 |
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| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj-art-30ea62af6176465f91a592cd4e9c2b3b2025-08-20T04:02:37ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222025-08-017318718910.24875/RECICE.M25000503Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure deviceEmilio Arbas Redondo,0Sandra Ofelia Rosillo Rodríguez,1Clara Ugueto Rodrigo,2Juan Caro Codón,3Alfonso Jurado Román,4Raúl Moreno5Unidad de Cuidados Agudos Cardiológicos, Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain. Instituto de Investigación del Hospital Universitario La Paz (idiPAZ), Madrid, SpainUnidad de Cuidados Agudos Cardiológicos, Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain. Instituto de Investigación del Hospital Universitario La Paz (idiPAZ), Madrid, SpainUnidad de Cuidados Agudos Cardiológicos, Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain. Instituto de Investigación del Hospital Universitario La Paz (idiPAZ), Madrid, SpainUnidad de Cuidados Agudos Cardiológicos, Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain. Instituto de Investigación del Hospital Universitario La Paz (idiPAZ), Madrid, SpainInstituto de Investigación del Hospital Universitario La Paz (idiPAZ), Madrid, Spain. Unidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital Universitario La Paz, Madrid, SpainInstituto de Investigación del Hospital Universitario La Paz (idiPAZ), Madrid, Spain. Unidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital Universitario La Paz, Madrid, SpainTo the Editor, In cardiac surgery intensive care unit (CICU) the use of short-term mechanical circulatory support is increasingly common, such as venoarterial extracorporeal membrane oxygenation (VA-ECMO). The implantation of this device is almost always peripheral and involves the cannulation of a large-bore femoral arterial access. For this reason, vascular complications are a very common finding in patients on peripheral VA-ECMO1 with decannulation being one of the most critical moments. Currently, there are 2 types of vascular closure devices widely used in the cath lab: suture-based devices, such as the ProGlide (Abbott Vascular, United States), and collagen plug devices, such as the Angio-Seal (Terumo Corporation, Japan) and the Manta (Teleflex, United States). The latter has been specifically designed for the closure of large-bore arteriotomies using an intra-arterial anchoring system and an extra-arterial collagen plug, and is marketed in 2 different sizes: 14-Fr (for 10-14-Fr introducer sheaths and holes with an external diameter of up to 18-Fr) and 18-Fr (for 15-18-Fr introducer sheaths and holes with an external diameter of up to 25-Fr). Evidence in the field of structural heart procedures with the Manta device is very extensive2 and there is increasing experience in closing the arterial access of mechanical circulatory support systems,3,4...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=2659 |
| spellingShingle | Emilio Arbas Redondo, Sandra Ofelia Rosillo Rodríguez, Clara Ugueto Rodrigo, Juan Caro Codón, Alfonso Jurado Román, Raúl Moreno Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure device REC: Interventional Cardiology (English Ed.) |
| title | Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure device |
| title_full | Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure device |
| title_fullStr | Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure device |
| title_full_unstemmed | Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure device |
| title_short | Percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation using the Manta closure device |
| title_sort | percutaneous decannulation of peripheral veno arterial extracorporeal membrane oxygenation using the manta closure device |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=2659 |
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