Three‐way stopcock suture technique for hemostasis after ablation for atrial fibrillation

Figure‐of‐eight sutures (F8S) have emerged as an alternative to the standard practice of manual compression to achieve venous hemostasis after catheter ablation for atrial fibrillation (AF). In lieu of a knot to secure the sutures in place, a three‐way stopcock can be used, which can be loosened or tightened as needed to achieve hemostasis and is easier to remove. The safety and effectiveness of this technique, when compared to traditional F8S, are unknown. In this case series, we sought to describe this stopcock closure (SC) technique and compare procedural characteristics and outcomes to the traditional F8S.

[1]  S. Gautam,et al.  Figure‐of‐eight sutures for hemostasis result in shorter lab recovery time after ablation for atrial fibrillation , 2018, Pacing and clinical electrophysiology : PACE.

[2]  A. Go,et al.  Contemporary Procedural Complications, Hospitalizations, and Emergency Visits After Catheter Ablation for Atrial Fibrillation. , 2017, The American journal of cardiology.

[3]  K. Aytemir,et al.  Usefulness of 'figure-of-eight' suture to achieve haemostasis after removal of 15-French calibre femoral venous sheath in patients undergoing cryoablation. , 2016, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[4]  J. Hermida,et al.  Feasibility and safety of temporary subcutaneous venous figure-of-eight suture to achieve haemostasis after ablation of atrial fibrillation. , 2016, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[5]  Ziad F Issa,et al.  Venous hemostasis postcatheter ablation of atrial fibrillation while under therapeutic levels of oral and intravenous anticoagulation , 2015, Journal of Interventional Cardiac Electrophysiology.

[6]  K. Dabhadkar,et al.  In-Hospital Complications Associated With Catheter Ablation of Atrial Fibrillation in the United States Between 2000 and 2010: Analysis of 93 801 Procedures , 2013, Circulation.

[7]  D. Rajan,et al.  The Woggle technique for suture closure of hemodialysis access catheterization sites. , 2003, Journal of vascular and interventional radiology : JVIR.

[8]  H. Calkins,et al.  Factors impacting complication rates for catheter ablation of atrial fibrillation from 2003 to 2015. , 2016, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.