Use of the 8-F Angio-Seal Vascular Closure Device in Large-Caliber Arteriotomies

Abstract

The use of the 8-F Angio-Seal VCD to close large-caliber arteriotomies ranging from 9-F to 12-F is feasible and safe, with a low complication rate.

Single-Center Experience Comparing the Application of Small-Caliber versus Large-Caliber Arterial Access Closure in a Consecutive Series of Patients

“…In contrast, in the present study, any size of puncture site hematoma or bleeding from the access site was considered a type 1 complication, and type 1 complications accounted for 4 80% of all complications. From all the previous reports on the 8-F Angio-Seal and its use for 4 8-F femoral access, Sarin et al (13) had the most similar conditions to those of the present study. In line with our study, Sarin et al reported their experiences using the 8-F Angio-Seal for the closure of 9-F to 12-F femoral access.…”

“…Sarin et al (13) reported no immediate complication, whereas the present study reported a type 1 complication in 9 of 11 complications, including hematoma and oozing occurring immediately after the deployment of the 8-F Angio-Seal device. Also, Sarin et al applied manual compression for 15 minutes after Angio-Seal deployment in all patients as per their protocol, and 5 of 42 patients were not given anticoagulation.…”

“…The Angio-Seal VIP device (St. Jude Medical, Inc, St. Paul, Minnesota) is a collagen-mediated closure device applying a bioabsorbable anchor for hemostasis that was previously reported to attain hemostasis with few complications when used for the closure of 4 8-F arterial access (11)(12)(13). However, the Angio-Seal device is not approved by the US Food and Drug Administration for the closure of 4 8-F arterial access.…”

Efficacy and Safety of Augmenting the Preclose Technique with a Collagen-Based Closure Device for Percutaneous Endovascular Aneurysm Repair

“…Additionally, in our experience of vessel closure outside of EVAR, the Angio-Seal device has been used to successfully close access sites slightly larger than the recommended sheath sizes, with an 8-French AngioSeal closing up to 12-French sheath sites. This use of Angio-Seal is outside of its licenced indication but has been reported to be feasible and safe [16].…”

Vascular Closure Devices: Technical Tips, Complications, and Management

“…With disease-free access sites, we will use the 8-F device in up to 12-F access sites as has been described. 13 This is our device of choice for after thrombolysis and soon to be anticoagulated patients given the sandwich effect of the arteriotomy. We have used this device in proximal superficial femoral artery (SFA) (retrograde and antegrade) as well as distal external iliac artery access sites, both with success.…”