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
Identifiers and Pagination:Year: 2016
First Page: 44
Last Page: 47
Publisher ID: TOCMJ-10-44
Article History:Received Date: 22/6/2015
Revision Received Date: 20/8/2015
Acceptance Date: 22/9/2015
Electronic publication date: 9/3/2016
Collection year: 2016
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.
To show a complication of the use of an Angio-Seal™ closure device.
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.
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.