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J Invasive Cardiol. 2010 Jun;22(6):E107-9.

A novel method for closing the percutaneous transapical access tract using coils and gelatin matrix.

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Department of Interventional and Structural Heart Disease, Lenox Hill Heart and Vascular Institute of New York, New York 10075, USA


A patient with a symptomatic mitral paravalvular leak was successfully treated by implantation of an Amplatzer (16 mm) occluder device (AGA Medical, Plymouth, Minnesota) at the defect via percutaneous direct transapical puncture of the left ventricle. We describe a novel technique for closure and immediate hemostasis of the transapical access tract, comprising two stainless steel coils deployed across the myocardial wound and a hemostatic matrix injected at the epicardium and within the subcutaneous tract.

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