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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

Insights

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

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:

  • 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.
Abstract

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