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Rajiv Tayal
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Aug 2, 2026
10. Crisis Control — Bailout Management for Failed Percutaneous Axillary Artery Closure with Dr. Rajiv Tayal
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8:52

Rajiv TayalGUEST
This is a very common scenario, unfortunately, but since you still have a wire into the artery, I mean, you can really pick whatever you want to do, whether that's going in and deploying another perclose, simply rotate it.

Rajiv TayalGUEST
We had talked before about our methodology in terms of advancing the dry field balloon to the arteriotomy site, holding it up for five minutes, deflating it, reassessing, doing it again for five minutes, reassessing, and then ultimately giving protamine and doing it for five minutes and reassessing.

Rajiv TayalGUEST
You know, alternatively, I think commonly you are really able to get pretty good hemostasis also utilizing an angiocele.

Rajiv TayalGUEST
You know, collagen-based plugs have kind of been frowned upon in a number of scenarios because you do lose wire access.

Rajiv TayalGUEST
But since you have the 018 wire up and across from the leg or alternative access point, you can always bail yourself out with a balloon or a stent if needed.
6 MINS LATER

Nazli OkumusHOST
Can you please walk us through the step-by-step of placing, positioning, deploying, and post-dilating a covered stand from the point of having our tamponade balloon inflated from the radial artery and our wire across the axillary arteriotomy?
