Use of a collagen-based device for closure of low brachial artery punctures.
OBJECTIVE
To report our experience with the Angioseal vascular closure device for hemostasis of distal brachial artery puncture.


METHODS
Between September 2003 and August 2005, 64 Angioseal vascular closure devices were inserted in 64 patients (40 men, 24 women; mean age 65 years) immediately after diagnostic or therapeutic arterial angiographies performed through a 5 Fr to 7 Fr sheath via the distal brachial artery. Ultrasound examination of the brachial artery preceded the angiography in all cases and only arteries wider than 4 mm were closed by the Angioseal. In cases of a sonographically evident thin subcutaneous space of the cubital fossa, tissue tumescence, using 1% Lidocaine, was performed prior to the arterial closure.


RESULTS
The deployment success rate was 100%. No major complications were encountered; only 2 patients developed puncture site hematoma, and these were followed conservatively.


CONCLUSIONS
Closure of low brachial artery punctures with the Angioseal is simple and safe. No additional manual compression is required. We recommend its use after brachial artery access interventions, through appropriately wide arteries, to improve early patient ambulation and potentially reduce possible puncture site complications.
Belenky
A
A
Department of Interventional Radiology, Rabin Medical Center, Beilinson and Glolda Campuses, Petah Tiqwa, Sakler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Aranovich
D
D
Greif
F
F
Bachar
G
G
Bartal
G
G
Atar
E
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001916:Brachial Artery / Q000601:surgery*; D003094:Collagen / Q000627:therapeutic use*; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000009:adverse effects / Q000295:instrumentation*; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000601:surgery; D014656:Vascular Surgical Procedures
D003094:Collagen