Surgical treatment of complications associated with the Angio-Seal vascular closure device

Article Article scientifique Rapport de cas Surgical treatment of complications associated with the Angio-Seal vascular closure device eng 2011 author Cikirikcioglu Mustafa 135609 author Cherian Sanjay 720417 author Keil Vera 709766 author Manzano Norman author Gemayel Gino 750206 author Theologou Thomas author Kalangos Afksendiyos 132614 557.e1-4 10.1016/j.avsg.2011.01.004 21549929 0890-5096 Vascular closure devices are used to provide quick hemostasis and early ambulation after percutaneous interventions. The Angio-Seal (AS) vascular closure device forms a mechanical seal by closing the puncture site located between a bioabsorbable anchor within the lumen and a collagen sponge on the adventitia. Although morbidities associated with AS are reportedly infrequent, even the slightest inaccuracy in device implantation may result in displacement of these device components, leading to sudden and severe complications. We report the surgical treatment of complications associated with the use of AS in four patients, including acute limb ischemia, pseudoaneurysm formation, significant hemorrhage, and hypovolemic shock. A common factor in all these cases was that the components of the AS device were displaced from their original site of implantation, stressing the importance of proper device placement. All patients underwent successful surgical vascular repair. Our report highlights the need for exercising extreme care during device implantation, and also the requirement for vigilant inspection for any associated vascular complications commencing immediately after device implantation. It is vital that these device components are actively looked for and removed during surgical exploration so as to prevent future complications. Aged, 80 and over Aneurysm, False/etiology/surgery Catheterization/adverse effects Device Removal Equipment Design Female Foreign-Body Migration/etiology/surgery Hemorrhage/etiology/prevention & control/surgery Hemostatic Techniques/adverse effects/instrumentation Humans Ischemia/etiology/surgery Male Middle Aged Patient Selection Punctures Shock/etiology/surgery Treatment Outcome Vascular Surgical Procedures Dewey 616.07 Dewey 617 137 Département de pathologie et immunologie 21F 57 Département de chirurgie 222 false 80 Chirurgie cardio-vasculaire 105 Annals of vascular surgery 25 4 f11ece26-62c2-4ec4-b54e-1cd44b092706 Article (Published version) Restricted 2011_cikirikcioglu_ann_vasc_surg.pdf 532952 application/pdf restrictedAccess Faculté de médecine / Section de médecine fondamentale / Département de pathologie et immunologie Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Surgical treatment of complications associated with the Angio-Seal vascular closure device	Annals of vascular surgery			2011	687	0

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Keil, Vera