RESEARCH ARTICLE


A Peculiar Case of a Floating Angio-Seal



R.C. Dettmers*, W.M.P.F. Bosman, M.A.J. van den Broek, H.T.C. Veger, P.Ph.A. Hedeman Joosten, B.L.S. Borger van der Burg
Rijnland Hospital, Department of Surgery, Leiderdorp, the Netherlands


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© Dettmers et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Rijnland Hospital Leiderdorp, Simon Smitweg 1, 2353 GA Leiderdorp, Netherlands; Tel: 0031629731080; Email: r.dettmers@rijnland.nl


Abstract

Purpose

To show a complication of the use of an Angio-Seal™ closure device.

Case

We present a patient with a systolic murmur in his femoral artery after PCI. The murmur was caused by a dislocated Angio-Seal™, a vascular closure device. This was diagnosed by Doppler Ultrasound. The device was surgically removed.

Conclusion

Vascular complications, such as lower limb ischemia, requiring surgical intervention tend to be higher after use of a vascular closure device. We advise routine physical examination of the puncture site after percutaneous closure with a vascular closure device, such as an Angio-Seal™. The removal of the device can be performed via an open or endoscopic approach, based on available experience.

Keywords: Angio-Seal, complication, ischaemia, vascular closure device.