Which closure device uses a non-absorbable suture and has a risk of internal vessel damage from the device foot?

Which closure device uses a non-absorbable suture and has a risk of internal vessel damage from the device foot?

• A. Perclose closure device
• B. Starclose closure device
• C. Angioseal closure device
• D. Mynx closure device

Answer: (A)

Suture-mediated closure devices seal the artery by placing a stitch across the arteriotomy to close the puncture. A hallmark of these systems is a foot-like or internal deployment tip that sits inside the vessel to position and anchor the suture. If that foot is misused or encounters the vessel wall too aggressively, it can cause internal vessel injury, such as intimal damage or dissection. Perclose ProGlide uses a non-absorbable suture (often polypropylene) delivered via this internal foot mechanism, so it carries that specific risk of injury from the device foot. Other closure methods—like nitinol clips, collagen plug–based systems, or collagen plug–based sealants—do not rely on a non-absorbable suture with an internal deployment foot in the same way, so their risk profile regarding internal foot injury differs.

Suture-mediated closure devices seal the artery by placing a stitch across the arteriotomy to close the puncture. A hallmark of these systems is a foot-like or internal deployment tip that sits inside the vessel to position and anchor the suture. If that foot is misused or encounters the vessel wall too aggressively, it can cause internal vessel injury, such as intimal damage or dissection. Perclose ProGlide uses a non-absorbable suture (often polypropylene) delivered via this internal foot mechanism, so it carries that specific risk of injury from the device foot. Other closure methods—like nitinol clips, collagen plug–based systems, or collagen plug–based sealants—do not rely on a non-absorbable suture with an internal deployment foot in the same way, so their risk profile regarding internal foot injury differs.