A Peculiar Case of a Floating Angio-Seal

Open Cardiovasc Med J. 2016 Mar 9:10:44-7. doi: 10.2174/1874192401610010044. eCollection 2016.

Abstract

Purpose: To show a complication of the use of an Angio-Seal™ closure device.

Case: We present a patient with a systolic murmur in his femoral artery after PCI. The murmur was caused by a dislocated Angio-Seal™, a vascular closure device. This was diagnosed by Doppler Ultrasound. The device was surgically removed.

Conclusion: Vascular complications, such as lower limb ischemia, requiring surgical intervention tend to be higher after use of a vascular closure device. We advise routine physical examination of the puncture site after percutaneous closure with a vascular closure device, such as an Angio-Seal™. The removal of the device can be performed via an open or endoscopic approach, based on available experience.

Keywords: Angio-Seal; complication; ischaemia; vascular closure device.