Related Experiment Video
Updated: Jul 7, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Complications associated with the arterial puncture closure device--Angio-Seal
Alexander Kadner1, Jürg Schmidli, Igor Schwegler
1Swiss Cardiovascular Center, University Hospital, Freiburgerstrasse, Bern, Switzerland. alexander.kadner@insel.ch
Background:
Arterial puncture closure devices (APCD) are frequently used after cardiac catheterization. Here, the diagnosis and therapy of femoral artery complications after the use of the Angio-Seal APCD is reported.
Patients And Methods:
The Angio-Seal APCD was deployed in 1600 patients undergoing transfemoral catheterization.
Results:
In 7 of 1600 cases (0.4%) vascular complications occurred following Angio-Seal deployment. Diagnosis was made by duplex sonography. Intraoperative findings consisted of a complete occlusion with dissection of the femoral artery in all patients. In 6 cases, the femoral bifurcation had to be reconstructed after endarterectomy. Follow-up is complete with a mean of 6 months.
Conclusion:
The Angio-Seal device should not be used for closure of the superficial femoral artery and in patients with severe arteriosclerosis. The application of arteriography as well as the use of ultrasound-guided puncture is advisable. In all cases, surgical intervention was successful and an adequate therapy for management of complications.
Related Concept Videos
Aneurysm III: Interprofessional Care
Cardiac Catheterization I: Pre-Procedure Overview
Aneurysm I: Introduction
Peripheral Artery Disease V: Postoperative Nursing Management
Aneurysm IV: Nursing Management
Cardiac Catheterization II: Right Heart Catheterization

