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