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Acute claudication caused by Angio-Seal closure devices: a report of four cases

E Mattens1

  • 1Department of Surgery, Diaconessenhuis, Meppel, The Netherlands. edwinmattens@zonnet.nl

Acta Chirurgica Belgica
|June 18, 2008
PubMed

Insights

Femoral artery closure devices can cause serious ischemic complications like claudication due to malpositioning. Healthcare providers should carefully monitor patients for these adverse events following interventions.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Device Complications

Background:

  • Femoral artery closure devices are widely used for hemostasis after percutaneous arterial interventions.
  • These devices offer established benefits in efficacy and patient comfort.

Observation:

  • A series of four patients experienced sudden, debilitating claudication within a five-month period.
  • The common factor among these patients was the prior use of an Angio-Seal closure device.

Findings:

  • Malpositioning of the Angio-Seal device was identified as the cause of the ischemic complications.
  • Detailed pre- and peroperative findings and treatment strategies for these cases are presented.

Implications:

  • Interventionalists must actively monitor and record ischemic complications associated with puncture site closure devices.
  • Minimizing serious adverse events is crucial, as they may outweigh the benefits of these devices.

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