Efficacy and complications of Angioseal in antegrade puncture

Area of Science:

• Interventional Cardiology
• Vascular Surgery
• Medical Device Technology

Background:

• Arterial closure devices (ACDs) are widely used for vascular access hemostasis.
• Limited data exists on the efficacy and safety of ACDs specifically in antegrade puncture techniques.
• Antegrade puncture is a common approach for peripheral vascular interventions.

Purpose of the Study:

• To evaluate the safety and effectiveness of Angioseal, an arterial closure device, in patients undergoing antegrade puncture.
• To assess potential complications associated with Angioseal use in this specific puncture approach.

Main Methods:

• Retrospective review of 21 consecutive patients who underwent antegrade puncture for peripheral vascular disease.
• Single-center, single-operator study.
• Analysis of case notes and angiograms for complications and disease severity.

Main Results:

• Angioseal was deployed in 21 patients for hemostasis following antegrade puncture.
• Low complication rates were observed: one case of hematoma and one case of worsening ischemia.
• Disease severity at the puncture site did not impact the procedural outcome.

Conclusions:

• Angioseal demonstrates safety and effectiveness when used for hemostasis in antegrade punctures for peripheral vascular disease.
• The outcomes are not influenced by the severity of the underlying vascular disease at the puncture site.