Fig. 2

Application of Z suture for hemostasis. A- This shows a Micra 27Fr sheath placed in the RFV. Dotted black lines show the plane of Z suture insertion. Circle end represent entry site whereas arrow end represent exit site. Red dotted line represent suture crossing from superior exit point to inferior insertion point, which lead to formation of the Z configuration. B- Silk suture (Ethicon MerSilk 1, 90 mm 3/8 c cutting) attached to a curved needle is passed medially to laterally on the body, on a plane just 2 cm superior to the sheath and deep into the subcutaneous tissue. C- The needle is brought medially to laterally the sheath and deep into the subcutaneous tissue. This represents Z configuration prior to locking suture. Micra sheath will be removed while maintaining traction on the suture. D- Completed right groin Z suture after removal of Micra sheath