title: Acute arterial occlusion after deployment of the Angio-Seal closure device: is it as uncommon as we think?
abstract: Angio-Seal is a frequently used vascular closure device after arterial catheterisation. Major complications are infrequently reported. We present four cases occurring within a 2-month period in our hospital with dislodgement of an Angio-Seal causing acute arterial occlusion, resulting in loss of limb in one case. Surgical intervention was necessary in all cases. Acute arterial occlusion after deployment of the Angio-Seal in patients with peripheral arterial disease might be less uncommon than the literature suggests.
authors.affiliation: Department of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. h.vandersteeg@chir.umcn.nl
authors.forename: H J J
authors.initials: HJ
authors.lastname: van der Steeg
authors.forename: P
authors.initials: P
authors.lastname: Berger
authors.forename: A G
authors.initials: AG
authors.lastname: Krasznai
authors.forename: R
authors.initials: R
authors.lastname: Pietura
authors.forename: L J
authors.initials: LJ
authors.lastname: Schultze Kool
authors.forename: J A
authors.initials: JA
authors.lastname: van der Vliet
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D000800:Angioplasty, Balloon / Q000009:adverse effects; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D020878:Device Removal; D004691:Endarterectomy; D004867:Equipment Design; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000628:therapy*; D011677:Punctures; D011859:Radiography; D012086:Reoperation; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D016896:Treatment Outcome