Local vascular complications after use of the hemostatic puncture closure device Angio-Seal™

被引:33
作者
Kirchhof, C
Schickel, S
Schmidt-Lucke, C
Schmidt-Lucke, JA
机构
[1] Pk Krankenhaus Leipzig Sudost GmbH, Dept Med, D-04289 Leipzig, Germany
[2] Univ Hosp Magdeburg, Dept Cardiol Angiol & Pneumol, Magdeburg, Germany
来源
VASA-JOURNAL OF VASCULAR DISEASES | 2002年 / 31卷 / 02期
关键词
catheterization; collagen; Angio-Seal; complications;
D O I
10.1024/0301-1526.31.2.101
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Background: As an alternative to manual pressure techniques new systems for achieving arterial hemostasis after cardiac catheterization were developed. Here we report about the diagnosis and therapy of femoral artery complications after use of the closure device Angio-Seal(TM), consisting of an intraarterial anchor and extravascular collagen plug. Patients and methods: Angio-Seal(TM) was deployed in 350 patients undergoing cardiac catheterization. Vascular investigations after device application consisted of ankle/brachial-pressure-index measurement, duplex sonography, and angiography. Results: Vascular complications occurred in 10 of 350 patients. In two patients complete occlusions of the superficial femoral artery required immediate vascular surgery. Stenoses of the superficial (five patients) and the common (three patients)femoral arteries were diagnosed in 8 cases. Of these 10 patients eight were obese, in 2 cases there was a further catheterization with Angio-Seal(TM) device application via the same femoral approach. Until now six patients underwent successful surgery: in 4 cases the whole AngioSeal(TM)device was located intraarterially, there was 1 case of intima-dissection, and 1 case remained unclear due to a diagnostic delay of 7 months. In three patients with stenoses of the common femoral arteries without hemodynamic relevance no therapy was required. Conclusions: Occlusions or stenoses of femoral arteries after use of Angio-Seal(TM) can be diagnosed easily by duplex sonography. All hemodynamic relevant complications (n = 7 of 350 [2%]) concerned a puncture of superficial femoral arteries. In these patients vascular surgery seems to be an adequate therapy.
引用
收藏
页码:101 / 106
页数:6
相关论文
共 35 条
[1]  
BEYTHIEN C, 1992, CIRCULATION, V86, P243
[2]   FEMORAL-ARTERY CATHETERIZATION COMPLICATIONS - A STUDY OF 503 CONSECUTIVE PATIENTS [J].
BOGART, DB ;
BOGART, MA ;
MILLER, JT ;
FARRAR, MW ;
BARR, WK ;
MONTGOMERY, MA .
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1995, 34 (01) :8-13
[3]   COLLAGEN APPLICATION VERSUS MANUAL COMPRESSION - A PROSPECTIVE RANDOMIZED TRIAL FOR ARTERIAL PUNCTURE SITE CLOSURE AFTER CORONARY ANGIOPLASTY [J].
CAMENZIND, E ;
GROSSHOLZ, M ;
URBAN, P ;
DORSAZ, PA ;
DIDIER, D ;
MEIER, B .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 24 (03) :655-662
[4]  
Carere RG, 1996, CATHETER CARDIO DIAG, V37, P367, DOI 10.1002/(SICI)1097-0304(199604)37:4<367::AID-CCD5>3.0.CO
[5]  
2-9
[6]  
CHEVALIER B, 1995, J AM COLL CARDIO FEB
[7]  
CHRISTENSEN BV, 1994, CIRCULATION, V90, P205
[8]   A NEW HEMOSTATIC PUNCTURE CLOSURE DEVICE FOR THE IMMEDIATE SEALING OF ARTERIAL PUNCTURE SITES [J].
DESWART, H ;
DIJKMAN, L ;
HOFSTRA, L ;
BAR, FW ;
VANOMMEN, V ;
TORDOIR, J ;
WELLENS, HJJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1993, 72 (05) :445-449
[9]  
Duffin D C, 2001, J Invasive Cardiol, V13, P354
[10]   IMMEDIATE SEALING OF ARTERIAL PUNCTURE SITES AFTER CARDIAC-CATHETERIZATION AND CORONARY ANGIOPLASTY USING A BIODEGRADABLE COLLAGEN PLUG - RESULTS OF AN INTERNATIONAL REGISTRY [J].
ERNST, SMPG ;
TJONJOEGIN, RM ;
SCHRADER, R ;
KALTENBACH, M ;
SIGWART, U ;
SANBORN, TA ;
PLOKKER, HWT .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 21 (04) :851-855