UVMFLOWNET Archives

September 1999

UVMFLOWNET@LIST.UVM.EDU

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Subject:
From:
Nancy Hohn <[log in to unmask]>
Reply To:
UVM Flownet <[log in to unmask]>
Date:
Fri, 3 Sep 1999 20:41:10 -0500
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Hi Jean,
Our cardiologists have experimented with both the Angio-seal and the Perclose
devices.  We had 3-4 instances where the Angio-seal dislodged, 2 were removed from
the CFA and one made it's way to the tib-peroneal trunk.  It was then recommended
by my vascular surgeon to just use the Perclose device and as far as I know we
have had no problem with this device that stitches the artery shut.

Nancy Hohn, RVT

Jean Perdue wrote:

> Hello Flownetters,
>
> I would like to request some advice on this interesting case.
> Although I have been 'lurking' for some time this is my first posting.
> Today I was called to the PACU for a cardiac cath patient with diminished
> foot pulses.  'Angio-seal' had been used.   This is new to my facility with
> only 50 or so patients being done so far.
>
> On duplex I saw a flow restricting foreign body in the CFA.
> The velocity was approx 500 cm/s at restriction with post turbulence
> This foreign body was presumed to be the collagen from the angio seal.
> Patient was taken to OR for 'foreign body' removal and did well.
>
> Has anybody had experience with this complication??  I would appreciate
> advice on what images are most useful and how this is treated at other places.
>
> Thank you
> Jean Perdue RN RVT

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