A simple sheath removal after open trans-femoral catheterization procedure: the ZIP technique

Eur J Cardiothorac Surg. 2014 Apr;45(4):746-8. doi: 10.1093/ejcts/ezt384. Epub 2013 Jul 25.

Abstract

The ZIP technique, a surgical equivalent of the 'Preclose' technique, useful for transcatheter aortic valve implantation or endovascular aortic aneurysm repair is described. While percutaneous closure devices are expensive, need a long learning curve and are associated with primary failure, the ZIP technique is easy and allows a quick, safe and anatomical closure of the artery. This procedure avoids arterial cross-clamping and no purse-string effect was demonstrated using Doppler ultrasound examination.

Keywords: Femoral artery; Stenosis; Transcatheter aortic valve implantation.

MeSH terms

  • Blood Vessel Prosthesis Implantation / methods*
  • Catheterization / methods*
  • Femoral Artery / surgery*
  • Humans
  • Sutures
  • Wound Closure Techniques*