Vascular complications after hemostatic puncture closure device (Angio-Seal) are not higher in overweight patients.
BACKGROUND
Angio-Seal (Daig Corporation, Minnetonka, Minnesota) allows earlier discharge from the hospital after coronary angiography. Manual compression in overweight patients after percutaneous procedures is associated with a higher incidence of groin complications. The purpose of this study was to determine if a vascular closure device could be safely used without increasing the risk of vascular complications in overweight patients.


METHODS
A total of 198 patients who received the 6 French Angio-Seal device after diagnostic coronary angiography were divided into 3 groups. Group A included patients with a body mass index (BMI) of < or = 25, group B with BMI between 25 and 30, and group C with BMI > or = 30. Patients were followed for groin complications during their hospital stay.


RESULTS
Complication rates were comparable between the 3 groups. Groin complications occurred in 11% in group A, 5% in group B and 6% in group C.


CONCLUSIONS
After diagnostic cardiac catheterization, a vascular closure device such as Angio-Seal can be safely used in overweight patients.
Wong
P
P
Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Harding
S
S
Walters
D
D
Hull
M L
ML
Jang
I K
IK
D000368:Aged; D015992:Body Mass Index; D001835:Body Weight; D016009:Chi-Square Distribution; D017023:Coronary Angiography / Q000009:adverse effects*; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*