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Vascular and Endovascular Surgery
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Article

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

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

* To whom correspondence should be addressed. E-mail: a.kadner{at}web.de.


  Abstract

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.

First published on January 29, 2008, doi:10.1177/1538574407312657

Vascular and Endovascular Surgery 2008;42:225.

A more recent version of this article appeared on June 1, 2008

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