A back table illustration of the technique published by PCRonline 🫀 to remove a stuck perclose footplate in the vessel! Simple and I believe can get us out of trouble! #CardioX peeps, comments welcome

Tried it on the purple one, it works as well @Umair2017

@PCRonline I’ve had this happen. Often times the foot plate doesn’t retract completely because there’s tissue stuck in the groove where it closes. Sometimes just opening and closing a few times is enough to release it and allow for retraction.

@PCRonline Yup thats the first thing we should do

@PCRonline You can pop open the back of it and there is a clear plastic piece on the inside. When you pull on this clear piece it will retract the footplate. Sometimes the knot can also be stuck so cut the suture too.

Thank you Michael. This is helpful. In our case, the footplate wouldn’t retract, even after we dismantled* the device. We found tissue trapped between the footplate and its housing. FWIW, I took the Perclose apart at the handle - which is how I learned it. Not sure if that made a difference.

@PCRonline your case is different, very tough situation

@PCRonline Wish I knew this earlier!

@PCRonline We learn every day my friend

@Asiritrauma1 @PCRonline Good Post

@ChengaziMD @PCRonline Had it happen to me once where I actually accessed through a CFA stent inadvertently and realized end of procedure. Eventually was able to retrieve it but was scary for sure 😱

@willsuh76 @PCRonline Great Tip! Abbott reps can’t tell you to do this. Why? Guidant reps once instructed doctors to manipulate the Ancure device the same way — it led to the device’s recall. No device company or rep from that era ever forgot the lesson.

@PCRonline Great demonstration

@PCRonline Thank u brother!

@PCRonline Great info Dr. Megaly!

@PCRonline Thank u sir

@ABeneduceMD @PCRonline Good demonstration Prof !

@ABeneduceMD @PCRonline Lol!! glad you liked it

@PCRonline I find it easier to insert a kelly into the top of perclose(light blue part) open it, take off black lever and release the footplate

@RMotaganahalli @PCRonline Do you know if this works on the purple one?

@RMotaganahalli @PCRonline Will try it at the back table

@PCRonline Thank u genius!

@PCRonline The genius people are rhe ones who invented it my friend