The Use of Angio-Seal Vascular Closure Device after Coronary Angiography and Percutaneous Coronary Intervention

Objective: To assess the efficiency and safety of Angio-Seal vascular closure device, for hemostasisin femoral artery puncture site after coronary angiography and percutaneous coronary intervention. Methods: From May to December 2003, A total of 129 patients (male 99, female 30) aged 63. 2±11.5 years received Angio-Seal vascular closure devices for hemostasis after coronary angiography or percutaneous coronary intervention. The time to hemostasis, the time to ambulation and the incidence of local complications were assessed. Results: Immediate hemostasis was successfully achieved in 128 patients (99. 2%). In 1 patient, device placement was abandoned due to inability of the collagen plug to properly deploy out of the sheath tip. The mean time to hemostasis was 1.1 ± 0. 6 rnin, and the patients were able to ambulate 7. 1 ± 3. 4 h after sheath removal. Among them, 16 patients could not ambulate in 6 hours after device deployment because of oozing. There were 5 cases of palpable mass and 1 case of false aneurysm at 7 days of follow-up, but no surgical repairment was required in any patient. Conclusion: After coronary angiography and percutaneous coronary intervention, the use of Angio-Seal closure devices resulted in rapid hemostasis and early ambulation with low incidence of local vascular complications.