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

Kadner, Alexander; Schmidli, Jürg; Schwegler, Igor; Dick, Florian; Schönhoff, Florian; Carrel, Thierry; Savolainen, Hannu (2008). Complications associated with the arterial puncture closure device--Angio-Seal. Vascular and endovascular surgery, 42(3), pp. 225-7. Thousand Oaks, Calif.: Sage 10.1177/1538574407312657

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BACKGROUND: Arterial puncture closure devices (APCD) are frequently used after cardiac catheterization. Here, the diagnosis and therapy of femoral artery complications after the use of the Angio-Seal APCD is reported. PATIENTS AND METHODS: The Angio-Seal APCD was deployed in 1600 patients undergoing transfemoral catheterization. RESULTS: In 7 of 1600 cases (0.4%) vascular complications occurred following Angio-Seal deployment. Diagnosis was made by duplex sonography. Intraoperative findings consisted of a complete occlusion with dissection of the femoral artery in all patients. In 6 cases, the femoral bifurcation had to be reconstructed after endarterectomy. Follow-up is complete with a mean of 6 months. CONCLUSION: The Angio-Seal device should not be used for closure of the superficial femoral artery and in patients with severe arteriosclerosis. The application of arteriography as well as the use of ultrasound-guided puncture is advisable. In all cases, surgical intervention was successful and an adequate therapy for management of complications.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Kadner, Alexander; Schmidli, Jürg; Schwegler, Igor; Dick, Florian; Schönhoff, Florian; Carrel, Thierry and Savolainen, Hannu Olavi

ISSN:

1538-5744

ISBN:

18230871

Publisher:

Sage

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:05

Last Modified:

04 May 2014 23:20

Publisher DOI:

10.1177/1538574407312657

PubMed ID:

18230871

Web of Science ID:

000262463600003

URI:

https://boris.unibe.ch/id/eprint/28285 (FactScience: 119547)

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