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Arterial thrombosis after using Angio-Seal

Yannick Georg1, Fabien Thaveau, Anne Lejay

  • 1Service de Chirurgie Vasculaire, Nouvel Hôpital Civil, Strasbourg, France.

Annals of Vascular Surgery
|October 26, 2011
PubMed

Insights

Vascular closure devices (VCDs) are increasingly used in endovascular procedures. While complication rates are similar to manual compression, VCD complications can be more severe and require surgical intervention.

Area of Science:

  • Vascular Surgery
  • Endovascular Procedures
  • Medical Device Complications

Background:

  • Percutaneous closure systems are widely adopted in endovascular practice.
  • These systems aim to achieve hemostasis at arterial puncture sites.
  • Assessing the safety and complication profile of these devices is crucial.

Observation:

  • Five cases of thrombotic complications after Angio-Seal deployment were treated.
  • A literature review of 106 articles on vascular closure (1992-2007) was conducted.
  • Complication rates for percutaneous closure were comparable to manual compression.

Findings:

  • Complications associated with percutaneous closure systems can be more complex.
  • These complications frequently necessitate surgical repair.
  • The severity and frequency of complications vary by closure system type.

Implications:

  • Vascular surgeons must possess thorough knowledge of different closure systems.
  • Understanding system-specific complications is vital for appropriate patient management.
  • This knowledge aids in selecting the safest and most effective closure method.

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