The Use of a Collagen-Based Puncture Closure Device in the Subclavian Artery After Inadvertent Introduction of an 11.5 French Hemodialysis Catheter

Excerpt

Angioseal® is a collagen-based arterial closure device first used in 1992 [1] to achieve early hemostasis in the puncture site and to make ambulatory angiography possible. Earlier, its use was concentrated more on patients undergoing coronary angiography and angioplasty. Since then its use in peripheral, lower extremity angiography has increased. The device also makes it possible to perform arterial punctures on heparinized or strongly anticoagulated patients [2]. The increased use has also led to reports of complications, especially acute thrombosis of the punctured artery, usually the common femoral artery, and sometimes embolisation in the lower extremity arteries [3]. An increase in the rate of infections at the site of the puncture has also been reported [4]. Lately, several larger randomised studies comparing different devices have been published [5, 6]. …