We have seen this problem as well.  You might look at a case report we did:

McKee, J., Eidt, J., Habibipour, S., Nix, M.L., and Talley, J.D. IT FITS!
(Intelligence Transfer:  From Images to Solutions)  A Cold Leg After
Coronary Angiography.  Journal of Interventional Cardiology 11(6):647-648,
1998.


M. Lee Nix, BSN,RN,RVT
Director, Vascular Lab
Instructor, Department of Surgery
University of Arkansas for Medical Sciences
(501)   686-5318
FAX   (501)   686-8688
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        -----Original Message-----
        From:   Jean Perdue [SMTP:[log in to unmask]]
        Sent:   Thursday, September 02, 1999 6:45 PM
        To:     [log in to unmask]
        Subject:        angio-seal

        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