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Rajiv Tayal

Aug 2, 2026

1:29
What are your initial steps before pulling out a cover stem?
1:33
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.
1:45
That again, allows you to maintain wire access.
1:47
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.
2:04
You know, alternatively, I think commonly you are really able to get pretty good hemostasis also utilizing an angiocele.
2:12
You know, collagen-based plugs have kind of been frowned upon in a number of scenarios because you do lose wire access.
2:18
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

8:52
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?

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