Complications associated with the arterial puncture closure device--Angio-Seal

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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Alexander Kadner1, Jürg Schmidli, Igor Schwegler

  • 1Swiss Cardiovascular Center, University Hospital, Freiburgerstrasse, Bern, Switzerland. alexander.kadner@insel.ch

Vascular and Endovascular Surgery
|January 31, 2008
PubMed

Insights

Vascular complications occurred in 0.4% of patients after Angio-Seal arterial puncture closure device use. Surgical intervention was successful for managing these femoral artery issues.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery
  • Medical Device Technology

Background:

  • Arterial puncture closure devices (APCD) are standard post-cardiac catheterization.
  • Femoral artery complications associated with APCD require careful management.
  • The Angio-Seal APCD is a commonly used device for arterial closure.

Purpose of the Study:

  • To report the diagnosis and therapy of femoral artery complications after Angio-Seal APCD use.
  • To evaluate the incidence and nature of complications.
  • To provide recommendations for device usage and complication management.

Main Methods:

  • The Angio-Seal APCD was used in 1600 patients undergoing transfemoral catheterization.
  • Complications were diagnosed using duplex sonography.
  • Surgical reconstruction was performed for severe complications.

Main Results:

  • Vascular complications occurred in 7 out of 1600 cases (0.4%).
  • All cases presented with femoral artery occlusion and dissection.
  • Six patients required femoral bifurcation reconstruction after endarterectomy.

Conclusions:

  • The Angio-Seal device is not recommended for superficial femoral artery closure or in patients with severe atherosclerosis.
  • Arteriography and ultrasound-guided puncture are advised.
  • Surgical intervention proved successful in managing all reported complications.
Abstract

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