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Risk factors for infectious complications with angio-seal percutaneous vascular closure devices

Johnny Franco1, Raghunandan Motaganahalli, Murtz Habeeb

  • 1Department of Surgery, Saint Louis University Hospital, St. Louis, MO 63101, USA. jufranco16@gmail.com

Vascular
|August 25, 2009
PubMed

Insights

Repeat use of percutaneous vascular closure devices may increase the risk of infectious complications. Identifying high-risk patients is crucial for preventing serious adverse events following vascular interventions.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery
  • Infectious Disease

Background:

  • Percutaneous vascular closure devices are widely used in cardiac and peripheral interventions.
  • While generally safe, these devices carry a risk of complications, including infection.

Observation:

  • Two cases illustrate infectious complications following repeat percutaneous vascular closure device use.
  • Case 1: A 43-year-old male developed bacteremia and infected femoral artery hematoma after a second cardiac catheterization using the same access site.
  • Case 2: A 57-year-old male experienced a localized groin infection after repeat Angio-Seal device use.

Findings:

  • The overall complication rate for closure devices is 2%, with infectious complications occurring in 0.3% of patients.
  • Repeat interventions at the same vascular access site may elevate the risk of infection.

Implications:

  • These cases highlight the potential for serious infectious morbidity associated with repeat percutaneous vascular closure device use.
  • Identifying patients at increased risk for infectious complications is essential for improving patient safety and outcomes.

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