Comparison of a collagen plug arterial closure device with manual compression after endovascular interventions for peripheral artery disease

Fokkema, Talje M.; Minnee, Robert C.; Kock, Gert-Aldert H.; Blomjous, J. G. A. M.; Vahl, A.C.; Leijdekkers, V.J.

doi:10.1016/j.jvs.2016.02.025

Cited by 9 publications

(3 citation statements)

References 22 publications

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“…Complication rates compared with MC as well as the safety and efficacy between devices remain comparable. [45][46][47][48][49][50][51][52] The data are variable and somewhat controversial. Whereas some studies have shown decreased complications compared with MC, 42 others have tended to show an increased risk of complications.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of vascular closure devices for femoral artery puncture sites

Noori

Eldrup-Jørgensen

2018

Journal of Vascular Surgery

156

114

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VCDs have shown marked improvement in patients' comfort and satisfaction as well as in time to hemostasis and ambulation after percutaneous vascular procedures. According to multiple small randomized controlled trials, meta-analyses, and a Cochrane review, complication rates, safety and efficacy, and outcomes remain comparable between VCDs and MC (12% for VCDs vs 13% for MC). VCDs have a low incidence of major complications and high success rates, which provides convenience for the practitioner and facilitates turnover of patients. VCDs have a risk of infectious (0.6% with VCDs vs 0.2% with MC) and thrombotic complications (0.3% with VCDs vs none with MC) that is small but may be increased compared with MC. It is important to balance the goals of comfort of the patient, resources of the staff, and early ambulation against periprocedural and anatomic risk factors (ie, individualize use of VCDs to specific clinical scenarios). Users must be familiar with a device and its limitations to safely and effectively achieve hemostasis after femoral artery puncture.

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Section: Discussionmentioning

confidence: 99%

A systematic review of vascular closure devices for femoral artery puncture sites

Noori

Eldrup-Jørgensen

2018

Journal of Vascular Surgery

156

114

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“…[ 1 ] However, the rate of complications and patient safety is reportedly similar for VCDs compared with manual compression. [ 2 ] The various closure devices available are classified as active approximators (involve physical closure of arteriotomy site, e.g. : Starclose, Perclose Proglide), passive approximators (deploy plug/sealant/gel at arteriotomy site, e.g.…”

Section: Discussionmentioning

confidence: 99%

Complications with the use of Angio-Seal vascular closure device and their management

Shariq,

Premnath,

Saleh

et al. 2023

JCIS

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Vascular closure devices (VCDs) are being increasingly used for achieving hemostasis after diagnostic and therapeutic endovascular procedures. Although uncommon, complications may be encountered which are associated with the use of these VCDs. We report four cases where the use of Angio-Seal (Terumo, Somerset, New Jersey, USA) was followed by complications. Three cases presented with acute limb ischemia, among them, two patients had arterial occlusion at the vascular access site and one patient had embolization of the footplate anchor of the closure device. One case presented with pseudoaneurysm at the common femoral artery access site along with occlusion at origin of the superficial femoral artery. We have described the mechanism in which these complications occur and the successful management of these cases preventing potential amputation and limb loss. The risk factors which increase the risk of complications with the use of Angio-Seal VCD were reviewed and the strategy to avoid these complications with particular emphasis on the utility of ultrasound when using Angio-Seal VCD is discussed. A strategy to manage these complications has been discussed while deciding on endovascular management or surgical management, especially in patients with challenging presentation and those with multiple comorbidities making them at very high risk for surgery.

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“…In a study comparing Angio-seal and MC applications after endovascular interventions in peripheral artery disease, Fokkema et al reported that the use of Angioseals increased the risk of developing any complications (especially hemorrhage), regardless of other parameters. The authors emphasized that the Angio-seal system should be used carefully as it can increase the complication rate [11]. Similarly, there are different studies reporting an increase in complications with VCD methods [12].…”

Section: Discussionmentioning

confidence: 99%

Comparison of manual compression with a new bioabsorbable vascular closure device in percutaneous peripheral procedures

2022

Ann Clin Anal Med

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Aim: The aim of this study was to see how well a new bioabsorbable vascular closure device (VCD) performs in comparison with manual compression (MC) for access-site hemostasis in patients undergoing percutaneous peripheral procedures. Material and Methods: This retrospective cohort study was carried out by examining the files of patients who underwent vascular intervention for peripheral artery disease at Ordu University Training and Research Hospital between February 1, 2019, and January 31, 2020. The cases were divided into two groups according to the method of achieving access-site hemostasis (MC or VCD). Results: The patients' mean age was 64.81 ± 11.03 years, and 75.3% were males. There were 41 cases in the MC group and 40 cases in the VCD group. The frequency of hyperlipidemia in the VCD group was significantly higher than in the MC group (65.0% vs. 31.7%, p = 0.003). Time to hemostasis (TTH), time to ambulation (TTA), and length of hospital stay were significantly greater in the MC group than in the VCD group (p<0.001 for all). No major complications were observed in the VCD group, whereas 5 (6.2%) patients in the MC group developed complications (p = 0.023). Discussion: The use of VCD appears to be associated with shorter TTH, TTA, and length of hospital stay, and major complications were less frequent in the VCD group.

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Comparison of a collagen plug arterial closure device with manual compression after endovascular interventions for peripheral artery disease

Abstract: This study demonstrates that ACD use in patients with peripheral artery disease can lead to serious adverse events resulting in increased morbidity. Therefore, the potential benefits of an ACD over MC should be carefully weighed.

Cited by 9 publications

References 22 publications

A systematic review of vascular closure devices for femoral artery puncture sites

A systematic review of vascular closure devices for femoral artery puncture sites

Complications with the use of Angio-Seal vascular closure device and their management

Comparison of manual compression with a new bioabsorbable vascular closure device in percutaneous peripheral procedures

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