Reduction of femoral artery bleeding post catheterization using a collagen enhanced fibrin sealant

Percutaneous repair of abdominal aortic aneurysm

“…Bioabsorbable sponges (Angio-Seal, Kensey-Nash), bovine collagen plugs (Vaso-Seal VHD, Datascope), fibrin and thrombin procoagulant glues (Duett, Vascular Solutions), and small suture-mediated closure devices (Closer, Perclose; X-PRESS, X-Site Medical) work relatively well after arterial puncture with 6F and 8F sheaths. [6][7][8][9][10][11] These adjuncts to manual pressure save time, limit patient discomfort, and enable earlier patient ambulation, but they cannot be used safely after arterial access with 10F or larger sheaths.…”

Percutaneous techniques for aneurysm repair

“…Device entrapment, acute arterial thrombosis with limb ischemia, arterial injury, suture breaks resulting in hemorrhage, arterial dissection, suture infection, and pseudoaneurysm or arteriovenous fistula formation have all been described after use of this closure technique. [3][4][5][8][9][10][11][12][13][14] We have found that it is particularly important that the common femoral be the artery of choice for access. If the external iliac artery is punctured through the inguinal ligament, the suture-mediated closure device will not deploy properly, and early or late complications are likely to occur.…”

Percutaneous arterial closure in severely scarred groins: A technical note

“…There is also the possibility of using a percutanous suturing device [2,5,8]. All these methods have the potential to reduce the incidence of local complications or to permit early ambulation [2,9]. In our department, we used percutaneous suturing devices in 210 patients.…”