title: A Peculiar Case of a Floating Angio-Seal.
abstract: OBJECTIVE
  To show a complication of the use of an Angio-Seal™ closure device.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Rijnland Hospital, Department of Surgery, Leiderdorp, the Netherlands.
authors.forename: R C
authors.initials: RC
authors.lastname: Dettmers
authors.affiliation: Rijnland Hospital, Department of Surgery, Leiderdorp, the Netherlands.
authors.forename: W M P F
authors.initials: WM
authors.lastname: Bosman
authors.affiliation: Rijnland Hospital, Department of Surgery, Leiderdorp, the Netherlands.
authors.forename: M A J
authors.initials: MA
authors.lastname: van den Broek
authors.affiliation: Rijnland Hospital, Department of Surgery, Leiderdorp, the Netherlands.
authors.forename: H T C
authors.initials: HT
authors.lastname: Veger
authors.affiliation: Rijnland Hospital, Department of Surgery, Leiderdorp, the Netherlands.
authors.forename: P Ph A
authors.initials: PP
authors.lastname: Hedeman Joosten
authors.affiliation: Rijnland Hospital, Department of Surgery, Leiderdorp, the Netherlands.
authors.forename: B L S
authors.initials: BL
authors.lastname: Borger van der Burg
keywords: Angio-Seal; complication; ischaemia; vascular closure device