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Related Experiment Videos

Restick following initial Angioseal use.

Robert J Applegate1, Kevin M Rankin, William C Little

  • 1Section of Cardiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. bapplega@wfubmc.edu

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|January 29, 2003
PubMed
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Resticking arteries after Angioseal hemostatic device placement is safe, even within 90 days. This study found no major vascular complications, suggesting safe redocking after initial Angioseal deployment.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • The Angioseal device is widely used for arterial closure post-procedure.
  • Concerns exist regarding arterial resticking within 90 days due to potential plug disruption.
  • Limited data exists on the safety of early arterial resticking after Angioseal placement.

Purpose of the Study:

  • To evaluate vascular complication incidence after arterial resticking within 90 days of Angioseal deployment.
  • To assess the safety of repeat arterial access in the same site following hemostatic device use.

Main Methods:

  • Retrospective analysis of 181 patients undergoing arterial resticking after Angioseal placement.
  • Categorization of restick timing: 1-7 days, 8-30 days, and 31-90 days post-deployment.

Related Experiment Videos

  • Monitoring for vascular complications including bleeding, occlusion, and embolization.

    • Main Results:

    • No major bleeding events were reported.
    • No instances of vascular repair, vessel occlusion, or embolization occurred.
    • Three large hematomas (1.7%) were the only reported complications.

    Conclusions:

    • Arterial resticking within 90 days of Angioseal deployment appears safe.
    • The theoretical concerns of plug disruption or dislodgement were not substantiated in this cohort.
    • These findings support the safety of performing repeat arterial access after initial Angioseal use.