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A Peculiar Case of a Floating Angio-Seal
R C Dettmers1, W M P F Bosman1, M A J van den Broek1
1Rijnland Hospital, Department of Surgery, Leiderdorp, the Netherlands.
Purpose:
To show a complication of the use of an Angio-Seal™ closure device.
Case:
We present a patient with a systolic murmur in his femoral artery after PCI. The murmur was caused by a dislocated Angio-Seal™, a vascular closure device. This was diagnosed by Doppler Ultrasound. The device was surgically removed.
Conclusion:
Vascular complications, such as lower limb ischemia, requiring surgical intervention tend to be higher after use of a vascular closure device. We advise routine physical examination of the puncture site after percutaneous closure with a vascular closure device, such as an Angio-Seal™. The removal of the device can be performed via an open or endoscopic approach, based on available experience.
