Use of a collagen-based device for closure of low brachial artery punctures

To report our experience with the Angioseal vascular closure device for hemostasis of distal brachial artery puncture. Between September 2003 and August 2005, 64 Angioseal vascular closure devices were inserted in 64 patients (40 men, 24 women; mean age 65 years) immediately after diagnostic or ther...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2007-04, Vol.30 (2), p.273-275
Main Authors: Belenky, A, Aranovich, D, Greif, F, Bachar, G, Bartal, G, Atar, E
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
ARTERIES
BIOMEDICAL RADIOGRAPHY
Brachial Artery - surgery
COLLAGEN
Collagen - therapeutic use
COMPRESSION
Coronary vessels
Equipment Design
Equipment Safety
Female
Follow-Up Studies
Hematoma - etiology
HEMATOMAS
Hemostasis, Surgical - methods
Humans
Male
Medical imaging
Middle Aged
PATIENTS
Punctures - adverse effects
Punctures - instrumentation
RADIOLOGY AND NUCLEAR MEDICINE
Treatment Outcome
Vascular Diseases - surgery
Vascular Surgical Procedures
Veins & arteries
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Summary:To report our experience with the Angioseal vascular closure device for hemostasis of distal brachial artery puncture. Between September 2003 and August 2005, 64 Angioseal vascular closure devices were inserted in 64 patients (40 men, 24 women; mean age 65 years) immediately after diagnostic or therapeutic arterial angiographies performed through a 5 Fr to 7 Fr sheath via the distal brachial artery. Ultrasound examination of the brachial artery preceded the angiography in all cases and only arteries wider than 4 mm were closed by the Angioseal. In cases of a sonographically evident thin subcutaneous space of the cubital fossa, tissue tumescence, using 1% Lidocaine, was performed prior to the arterial closure. The deployment success rate was 100%. No major complications were encountered; only 2 patients developed puncture site hematoma, and these were followed conservatively. Closure of low brachial artery punctures with the Angioseal is simple and safe. No additional manual compression is required. We recommend its use after brachial artery access interventions, through appropriately wide arteries, to improve early patient ambulation and potentially reduce possible puncture site complications.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-006-0061-4