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Complications Associated With the Arterial Puncture Closure Device—Angio-Seal

Swiss Cardiovascular Center, University Hospital, Bern, Switzerland, alexander.kadner{at}insel.ch

Jürg Schmidli, MD

Swiss Cardiovascular Center, University Hospital, Bern, Switzerland

Igor Schwegler, MD

Swiss Cardiovascular Center, University Hospital, Bern, Switzerland

Florian Dick, MD

Swiss Cardiovascular Center, University Hospital, Bern, Switzerland

Florian Schönhoff, MD

Swiss Cardiovascular Center, University Hospital, Bern, Switzerland

Thierry Carrel, MD

Swiss Cardiovascular Center, University Hospital, Bern, Switzerland

Hannu Savolainen, MD

Swiss Cardiovascular Center, University Hospital, Bern, Switzerland

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.

Key Words: arterial puncture closure device • Angio-Seal • complication

This version was published on June 1, 2008

Vascular and Endovascular Surgery, Vol. 42, No. 3, 225-227 (2008)
DOI: 10.1177/1538574407312657


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