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Related Experiment Videos

Complications associated with percutaneous closure devices.

M D Gonze1, W C Sternbergh, K Salartash

  • 1Department of Surgery, Ochsner Medical Institutions, New Orleans, Louisiana 70121, USA.

American Journal of Surgery
|October 20, 1999
PubMed
Summary

Vascular closure devices used after angiography can lead to complications such as abscesses, pseudaneurysms, ischemia, and bleeding, necessitating surgical intervention in many cases.

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Radiology
  • Surgical Complications

Background:

  • Angiography necessitates effective hemostasis.
  • Vascular closure devices aim to reduce closure time.
  • Complications associated with these devices require reporting.

Purpose of the Study:

  • To report complications associated with vascular closure devices.
  • To analyze the types and incidence of adverse events.

Main Methods:

  • Retrospective review of 2,181 procedures.
  • Analysis of closure device use in 408 patients (19%).
  • Detailed review of specific closure devices: Angio-Seal, ProstarXL, and Duett.

Main Results:

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  • A 2.5% complication rate (10 of 408 patients).
  • Complications included subcutaneous abscesses, pseudaneurysms, lower extremity ischemia, and acute bleeding.
  • Most complications required surgical management; one retroperitoneal bleed was managed nonoperatively.

    • Conclusions:

    • Complications from vascular closure devices are a significant concern.
    • Increased use of these devices is likely to lead to more frequent complications.
    • Awareness and vigilance are crucial for managing these adverse events.