Scientific article
Case report

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

Published inAnnals of vascular surgery, vol. 25, no. 4, p. 557.e1-4
Publication date2011

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
Citation (ISO format)
CIKIRIKCIOGLU, Mustafa et al. Surgical treatment of complications associated with the Angio-Seal vascular closure device. In: Annals of vascular surgery, 2011, vol. 25, n° 4, p. 557.e1–4. doi: 10.1016/j.avsg.2011.01.004
Main files (1)
Article (Published version)
ISSN of the journal0890-5096

Technical informations

Creation10/31/2012 10:56:00 AM
First validation10/31/2012 10:56:00 AM
Update time03/14/2023 5:49:11 PM
Status update03/14/2023 5:49:11 PM
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