Brisk Bleeding during Deployment of the Angio-Seal Vascular Closure Device: What the User Manual Doesn′t Tell You

Rasuli P, Jaganathan S, French JG and Hammond DI

Department of Radiology, the Ottawa Hospital, University of Ottawa, Canada

^*Correspondance to: Pasteur Rasuli 

 PDF  Full Text DOI: 10.25107/2474-1647.1058

Abstract

Brisk puncture site bleeding during deployment and application of traction to the Angio-Seal footplate indicates that the foot plate is not anchored correctly against the arterial wall. In this situation, the collagen pack should not be deployed. A more vigorous pull should be applied to disengage the mal-positioned footplate, and to bring it to the arteriotomy site. Once the bleeding stops, the collagen plug can be deployed safely. Deploying the collagen plug before the bleeding stops can deliver the plug into the vessel lumen, resulting in arterial thrombosis. We review four patients in our practice that experienced this event.

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Cite the article

Rasuli P, Jaganathan S, French JG, Hammond DI. Brisk Bleeding during Deployment of the Angio-Seal Vascular Closure Device: What the User Manual Doesn′t Tell You. Clin Surg. 2016; 1: 1058.