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Angio-Seal, StarClose and Vascular Access and Closure Devices (2004 and earlier)
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Archived Postings from 2004 and Earlier on This Page (72): • What is the treatment for hematoma at the
sheath entry site? Would ultra sound be safe to treat a painfull hematoma? • Please take these Perclose things off the market.
My mother had a cardiac stent placement in May of 04 at a respected teaching
hospital. Within 24 hours she was in emergency surgery repairing a massive
retroperitoneal hemorrhage. Due to the many complications because of this
hemorrhagic episode: stroke, seizure, respiratory arrest, anoxic brain
damage, she had a five month long hospitalization and passed away in November.
She will be missed by many. I pray that no one else will have to suffer
by this medical practice which seems to have proven itself to not be the
safest choice. • I am a procedural cardiologist, and ended up having
an angioseal deployed on myself after a cath (by another expert cardiologist).
My observation is that, this is still experimental, with inadequate post
market surveillance, unpredictably high complication rate with dreadful
consequences. Vascular closure devices are a convenience (more to the medical
practice than the patient) rather than essential medical devices, and the
profession can do with out them. I would never use it on my patients. • My father recently had cardiac cath and
angioplasty and angioseal was utilized. He is now complaining of "charly
horse" type pain while walking which does eventually work out. This concerns
me after reading all the complications. Does it begin this way and progress
or will this be the extent of it? A card is given to the patient to carry
for 90 days, does that mean he has the potential for complications for
that 90 days? When reading the information given to him, it did not say
anything about this type of symptom. Where do you go from here? • I had a cardiac cath with stent placed
in the OM1 on July 19th. An angio-seal closed the wound site in my right
groin. August 3th I went back to my doctor because my right leg was swollen
and double the size of my left leg. I was sent for an emergency vascular
Doppler on my right groin and leg. They were looking for a dvt. The collagen
site was supposde to be the size of a pea. However, it was been the size
of a quarter. Today, 3 weeks later, it is the size of a dime. The wound
site remains sore to touch. Can I help this plug dissolve? • I am a 35 year old pediatric respiratory
therapist. I tore both of my carotid arteries and required stents. Following
the first of 3 angiograms, I developed a large retroperitoneal bleed.
It was the worst pain of my life...worse than the headache of the impending
stroke. A femstop was used. I complained of excrutiating pain for 6 hours
and finally they did a CT and found the bleed. Now 8 months later I have
horrible hip pain and I can hardly walk or stand or sit or lay down.
I had a wonderful life before my injury now I am in pain 24/7 cannot
sleep. Neurontin helped but they took me off of it because of some safety
concerns. Does anyone have any suggestions. • How does a person go about filing a class
action suit against Perclose? My husband had severe complications with
the device and ended up with staph infection in his groin which spread
to his chest. He was in the hospital for 5 weeks. Please help. We have
talked to many lawyers and none want to take on a staph infection case. • My wife had an angioplasty done using
Perclose and has had groin pain since (10 months). Tests show no problems
to artery, but she has pain even sitting let alone walking. Maybe if
enough people complain, something will be done to find out why this device
can cause such pain. • I am looking for thoughts on the Syvek
Patch. I have an opportunity to sell it as a Representative of the Company
who makes it (Marine Polymer Technologies) ANY thoughts would be great! • I am looking for guidance in returning
to exercise. I recently had an arteriogram to investigate possible valve
problems. The cardiologist used the Angio-Seal device. I had minimal
bruising and almost no pain. The cardiologist told me I could return
to my running and biking (normal routine) after a week. I am concerned
about damaging the device or even having it come apart due to the stresses
of exercise. Can anyone share any experiences or studies to relieve my
worries? Send me e-mail with Angio-Seal in the subject line.Thank you. • I had a angio-seal put in last week after
a angioplasty and so far I have had no problems unlike 2 months ago when
I had a angiogram and developed a huge hematoma. I ended up being in
bed for a month with severe pains. Also looking to hearing from anybody
who had a femoro bypass that failed. • I had 3 stents implanted on Feb.18,2004.
In March I had more chest pains, they did another catheterization and
found 80% blockage in one of the stents.This time they used the perclose
device afterwards "because it is less painful and you can begin walking
in 1 hour". I just about jumped off the table. It felt like someone kicked
me in the groin. I had pain from my waist down into the groin and down
the inside of my right leg to my knee. It was horrible. The next day
I had brachytherapy and I wouldn't let them do the perclose procedure
again. One of the assistants from the day before told me while I was
in Pre-op that he thought the problem was the delay in doing the perclose
(they were going to do the brachytherapy then, but didn't have a radiologist).
I'd rather lay on my back clamped to my bed for 8 hours than go through
that pain. I was sore and achy for about a 4 days and still have a small
lump at the site. I feel much better now but am leery of this perclose
procedure. It was anything but painless for me. • Found this site quite by accident! I had
an angiogram last november and still have hip pain. Iam beginning to
wonder if there could be some nerve damage that i never even knew existed
due to the angioseal?????? • I had a heart cath done March3, 2004 and
sealed with Perclose. I had pain right away. I have had three ultra sounds
done on my leg, no problems found. Doc says "he's not concerned". Well,
I am! I am always in some type of pain. At times it's like my leg and
groin are on fire. I get a pinching or stabbing pain at times, tingeling
and numbness too. I don't know where to turn. My Doc. never discussed
using Perclose, I didn't know I had a choice or that it could be dangerous. • This is starting to make me wonder too!
I had a heart cath done the first part of March, then about 3 weeks after,
I started to feel pain in the area of the angioseal, pain like I had
when I was released. Then just out of the blue I had extreme lower back
pain and leg pain and have suffered from a numb right leg and foot. I
feel very clumbsy now because I can not judge where my foot is taking
me a lot of the time. If I should be on my feet for any length of time,
my foot and leg will start to swell, and be painful. It has left me with
a constant cold feeling in those areas, along with pain in my groin area
if I should sit up straight, I am awaiting an apt with my doctor. • My mother had a Cardiac Cath procedure
in July 2003. The doctor used the angioseal but it failed. She developed
a hemotoma in her groin. As soon as she returned to her room ahe was
complaining of pain and nausea. The Femstop was applied and she continued
to complain about severe back pain. Her blood pressure dropped but it
came back up with IV fluids. Her blood pressure dropped again and she
was in extreme pain. The doctors kept telling us that this was normal.
I knew that she was too uncomfortable for this to be normal. Four hour
after the procedure, an EKG was performed. They had planned on doing
a pelvic scan but it was too late. They were rushing her to ICU to monitor
her. She passed away 2 Hours later. I believe she was bleeding internally
the whols time. Could the bleeding have been stopped if something was
attempted sooner? Please, if anyone has had a similar experience, could
you respond. • My mother had an angioplasty and stent procedure
in mid January. She has had severe nerve pain in her right foot and leg
with numbness. The doctor used a collagen plug. Could that be the problem?
The doctors say they've never heard of such a thing, but after viewing
all the other comments, I am beginning to wonder.??????? • Husband had Angio-sealed w/ VasoSeal- but seal "did
not work". I suspect the sheath broke or seal was dislodged or some other
complication(an hour is not accounted for...). no swelling or pain at the
site; but, he has had intestinal gas ever since. Anybody have any ideas??
Also, he has lost about 5 pounds in 4 weeks -with no change in diet. • hi-i am a 58 year old male --i had an emergency
angioplasty with a medicated stent to reopen an artery that had closed
witout warning or symptoms after a previous angioplasty 16 years previous(same
artery,different spot)--the first angioplasty was closed by the sandbag
and direct pressure method (1986) with no complications---the new angioplasty(2003)
was closed with the angio seal and i almost bled to death--even had the
same doctor who did the first one do the second angioplasty--while in the
CCU unit about 2 hours after the operation the nurse was routinely checking
the entry site and told me there was a problem---they called in an army
of doctors and nurses and told me that the angio seal was not working properly
and i was bleeding internally into my body cavities (im not a dr. so please
excuse my terminology)--at the time i felt nothing and would have bled
to death had they not put me in the CCU and checked me--my whole groin
area and right thigh and buttocks were filling with blood---it took them
7 hours total to stop the bleeding--they used direct hand pressure (2 doctors)
and a fem stop later on after vascular surgeons looked at it---also had
to get transfusions and a shot of atropine when i started to go unconscious
--it worked out ok in the end with no complications except a gigantic hematoma
for about a month afterward---if i had been sent home after the procedure,as
some other hospitals do, i believe i would have bled to death, so i am
thankful that this well known hospitals policy is to keep you in CCU to
make sure you are ok before being released----i was released after 3 days
in the CCU • While there are complications with any medical
procedures, we have been getting a number of queries about "femoral closure
devices". I would point readers to this
article posted on our NEWS site, published today in the Journal of
the American Medical Associationon which questions the effectiveness of
this device group. • Would it be possible to have Doreen from Los Gatos
CA email me as I have the exact severe trouble that she has from the perclose
insertion. Perhaps we can help each other as there is very little help
to be found. Your assistance is greatly needed. Thanks! Chuck Vostry chuckv9721@aol.com • I would like to know if anyone has found a treatment
for the damage caused to the nerve in the leg after femoral artery angioplasty
three months now and it is getting worse will I lose ability to walk?? • I also went through an angiogram, and when they
closed the site they used a plug of some sort. The plug was supposed to
stop the bleeding faster I am told, but what happened is much worse. The
plug was pushed into the femoral artery causing blockage to the right leg.
A week later after pushing my way into the doctors office because angio's
never go wrong. I was on my way to surgery to remove the blockage. Now
I have constant deep aching in the right leg, numbness and burning sensations.
The right leg and foot seem to be shrinking up also. The surgery was done
in april 2001, Could the leg be suffering from no blood for a week still,
or did the nerve get damaged in the surgery, or could it be from all of
those? This is keeping me from working as the lack of sleep is the worst
thing besides the pain and burning. Would love to hear from anyone with
some light on this problem. • I had an angiogram on April 1, 2001. They used
the collagen plug and it blocked the femoral artery. I had intense pain
following the angiogram and insisted on being seen, seven days later I
was given an ultrasound of the right leg and they found it had no blood
flow. The following day they did emergency surgery to remove the plug that
was blocking the artery. Now the leg is shrinking and I have intense pain
all the time. It feels like my ankle is sprained, and it is very weak.
The inside of the thigh is numb and all the muscles are mushy. I also am
interested in a lawsuit as I am now unable to work. Please let me know
if any others have had this same thing happen. • Any opinions on the Syvek Patch closure device.
Seems like a great concept, but my concern is whether or not the results
are as optimistic. Has anybody realized any benefits from using this product,
i.e. shorter compression time, higher patient throughput, increased patient
comfort? Any info would be great. • What are the pros and cons of a Chito seal? • I had an Angio-seal on 5/22/03 , here it is a
week later and i have a large knot in my groin area and when i sit and
get up i have a pulling that is nagging (not really painfull) but bothersome.
Also I can't seem to digest my food; it stops in my chest. Should i be
concern? • I had an angiogram approx. 3yrs. ago and I am
having pain in my groin now and numbness in my leg, and until now I didn't
know what it was. I am so thankfull to this site. I have a knot in my groin
and had a perclose plug becuse they told me I could get up sooner, but
I had alot of pain for days and alot of bleeding, however I didn't know
what was right. I don't know what this extreme pain is now , but this site
gives me something to tell my doctor about, or at least what to look for,
and it gives me hope. • I had an angiogram yesterday with a Perclose closure.
This was a painful procedure to such an extent that it made the shorter
time in the hospital negligible. I suggested to the doctor that some form
of anesthesia be used before closure, similar to the anesthesia used in
a colonoscopy, and he said that it should be looked into. • In September 1966 I underwent angioplasty successfully.
The surgeon who performed it then fitted me with a femstop and took off.
I have no way of knowing what his instructions to staff were, but within
an hour after placement of the femstop, my leg went numb, and then became
extremely painful at the site. Since I had been advised not to move, I
began to loudly ask for help but no one came. I finally began yelling and
sobbing uncontrollably because this was the most unbearable pain I had
ever experienced, much worse than my heart attack. A nurse came and took
the femstop off. The pain was similar to what you get with a pinched nerve,
but of course there was no way to adjust my position to lessen it. This
site was very painful for almost a week, and I had a difficult time walking
on this (Left) leg. My wife and I would call the hospital (VA) and get
a very ho-hum respose. I finally had to go back to classes (I was in grad
school at the time) but decided to drop out for that semester because I
would develop a tremendous ache or cramp in the underside of my left leg
that made it impossible for me to sit at a desk for any length of time.
If I got up and walked around it would seem to go away for awhile. I took
the doctors advice and began to run and walk for health reasons, but since
then have had left hamstring problems, left plantar fasciitis, left achilles
tendon problems, and now I can't lay on my left side in bed, or sit at
my office desk chair for very long periods. It is as if the nerve damage
(or whatever it is) makes my left leg unable to heal from injuries, and
the muscles and tendons are all atrophying slowly. I can no longer run
wtihout great pain in my left hip, and the cramping ache in my left leg
right under the hip is occurring right now, as usual, the cause of a very
poor nights' sleep. I doubt if I have anyone I can turn to, because this
happened in the VA. But I am wondering if I will be crippled now for the
rest of my life. • I am an attorney investigating a case involving
a 50 yofm with no other significant health problems who had an Angioseal
after angiography. Almost immediately after her leg was painful cold and
numb. With heparin her condition improved but 3 days later she had a complete
RFA occlusion requiring extensive surgeries thereafter. Is anyone aware
of any reputable studies which conclude these devices may not safe for
low risk patients? • I had a cath and stent a month ago. The doctor
closed my leg with the Perclose device. It was quick and easy. I not only
was up and walking in 30 minutes, but I left the hospital that night. My
groin was sore for about a week and a half, but it was worse on previous
procedures when I had just pressure held. My mother had the angioseal device
and she had a major infection with it. I think that the people on this
site arent aware that many of the complications that they are talking about
can occur with any method the physician uses to close our leg. When I asked
my doctor about the complication rates, he showed me studies which proved
that the perclose device had lower complication rates than manual compression
even. My results were enough to convince me. • After angioplasty with stent insertion on
Dec.8, the hospital used the AngioSeal closure system on me. It was 7
hrs before they got the bleeding to stop. 12 hrs later they had me walk
the hall a few times, then sent me home (was day after procedure). That
night, the site started hurting considerably and I ran a fever of 99.7
(my normal is 97.3). I called an on-call Dr., who told me to lie flat
as much as possible for 2 or 3 days & go to em if my fever went over
100. The fever waivered from 99 to 99.7 for next couple days, then went
to 98's for about a week. The site continued to hurt a lot, with mild
swelling & small lump (about quarter size). The fever finally went away
after about 10 days. So did the swelling & lump, but the site continues
to hurt, & the front upper leg hurts. Cold & damp seem to make it worse.
I've tried darvocet & extra strength acetaminophen (2) (obviously not
together), but neither works. Why would I have this reaction? And is
my only solution to wait the 90 days until the seal completely dissolves?
Also, my Doctors have told me that I have very small vessels (like an
8 to 10 yr. olds). I'm an adult female. Thank you for any info. you can
give me. I haven't really found any information about the seal itself. • Donna Hoskin, R.N. Would like to talk regarding
your ileoinquinal nerve damage. In same boat exactly as you. Am looking
for suggestions how to cope with 18 months of pain. Nothing works. Can
anyone help. • This is a very interesting site. I'm a RN and
experienced CHEST pain approx. 1 month ago. I had a CARDIAC Cath and bleed
internally after I went home and have had severe pain and now have continual
numbness in my leg and foot. The doctors are ignoring this and I have not
been provided any information until now. Any further information on nerve
damage from femoral site, I would appreciate. Also to respond to the question
re: cath site pain there is pain/soreness up to 2 weeks beyond that and
there could be a problem. • I am thinking about a law suit, are you? The perclose
devices have a lot of problems. Last July, I also had a perclose on my
right femoral artery, and after I had severe leg pains, and went to the
emergency room. There my artery burst from a staph infection, and I had
major reconstructive surgery, leaving me in the hospital for a month. Today,
over a year later, I have retired from work, because I now have a bum leg.
My leg swells after a couple of hours on it. No one can tell me what to
do for reimbursment for my pain. Sincerely, Larry • I had a cath in 1992, and 3 more in 1999 (two
were electrophysiology studies); AngioSeal was used on all 3 1999 procedures,
without complications and much reduced discomfort. Remember, patient discomfort
comes from many sources: the blood vessel penetrations; enforced bed immobility;
possible intravascular coagulation at points other than the penetrations.
My personal experience with AngioSeal was VERY POSITIVE. I was ambulatory
faster; able to imput more fluid (and walk to the bathroom to get rid of
them (an important point in encouraging fluid intake; and did not have
one of the cath labs tied up as long. • I had a angioplasty on 6\15\01 on 6\24\01 I went
to the emergency room with a temp of 103.7 and pain in my right leg. On
6\28\01 I was rushed to the OR for emergency surgery. I had staph infection
and perclose foreign material in my femoral artery. My right leg got a
lot of blood clots and is had to walk on to this day. Has anyone had trouble
with perclose and staph infection. • I had an angiogram 1 week ago and am experiencing
constant cramping in the groin area. Have others had similar experiences? • My Mother had an angiogram on a Friday. An AngioSeal
was used on the femoral artery. On the following Tuesday a doctor did an
angioplasty. In the AngioSeal material it states that you or the patient
should not have surgery at the same site for 90 days as that it how long
it takes for the AngioSeal components to dissolve. After the angioplasty
on Tuesday, my mother told the staff, as they were wheeling her to her
room that she was bleeding inside. She had bled internally before from
a ruptured ovary and so she knew the symptoms and what it feels like. They
took her back up to the recovery room or cath lab and applied a Femstop.
She had a visible 10cm hematoma on her right lower abdomen wall. The femstop
was removed approximately 6 hours later. The hematoma had softened and
so had her stomach area. She said she was still bleeding, and that her
back hurt really bad. She asked me not to let them put "anymore" air into
her.Her pain was not controlled by the morphine alone. Her body temp remained
at 93 degrees, her stats were labile and she minimum urine output. Next
morning still complaining of pain, nauseua, could not eat, said the food
was getting caught and she could not swallow. She continued to deteriorate.
Finally at 4pm when my mother's resps were up to 55 per min, and she was
holding her arms over her head as she had previusly done during the day,
the nurse got an order for emergency surgery. The cardiologist told the
surgeon to check for mesenteric rents, bleeding in her upper and lower
GI. He found nothing remarkable, but my mother had stabilized for the moment
as she had been given more blood. At no time did any doctor look for vascular
bleeds other than the one at the fem site. My mother, died of hypovolemic
shock on Thursday, the county coroner found an AngioSeal anchor in her
right common iliac artery. There were two defects/lacerations and the AngioSeal
anchor prong was caught in one of the two lacerations. The unofficial word
is that the guide wire from the angioplasty caught the AngioSeal anchor
and pushed it up into the iliac area. Has anyone any knowledge of a fem
site, that already contained an Angioseal, being used in less than 90 days
or as soon as 5 days for angioplasty thru the same site with another AngioSeal
being placed in the same artery? There was no emergency in doing this second
angioplasty. Thank you • Has anyone seen a clinical study on the Syvek
patch? • I would like to inquire as to potential of femerol
obstruction after PTCA. My mother had stents, and femoral closure with
Perclose. Leg became pale, severe pain. Turns out that femoral site had
obstructed "closure was too tight?" Does this make sense, and are there
other instances of similar complications? • I had a heart Cath 3 days ago and my doctor used
the Perclose technique. I am still experiencing pain in my groin and up
my lower abdomen. Is this normal? • Looking for detailed information on placement
procedure for AngioSeal. What is the function of the "tampon tube"(?),
and at what point is it removed? • I had a Perclose closing of the right femoral
artery on March 28, 2002. The next day I had very nasty pains and severe
weakness in my right leg (right femoral angiogram). These pains now continue
upon exercise of that leg and also at rest. The following week I had a
IDPV (doppler scan) which showed a 375 cm/sec. blood flow in my right femoral
artery at the insertion site of the angiogram. On April 18. 2002 another
angiogram (left femoral insertion) was performed to investigate the trouble
with the closure of the right artery. Nothing of value could be seen according
to my Dr. Today May 3, 2002, I had another IDPV Doppler Scan which now
shows blood flow in the right fermoral insertion site to be 260 cm/sec.
Can anyone tell me what happened to my once healthy artery? Will this get
better than it is now and how can I get rid of this condition? • Do any of you do technician deployment of these
closure devices? How long have you been doing so? Have your outcomes been
as good as or better than physician deployments? Have you found it to be
more advantageous from the patient's point of view. • Our lab is currently trying to implement tech
deployment of closure devices. Does anyone have info. reguarding the success
or failure rates of docs vs. techs. • Anecdotally, I have been pulling sheaths and holding
pressure for 15+ years, and I can tell you one thing: hemostasis comes
a lot quicker and easier with Syvek Patch than stand-alone manual pressure.
So, I can't give a more scientific explaination than I already have. I
just know it works well, and we ambulate in 2-4 hours (physician preference)
without bleeds.I currently have strong beliefs in the Syvek Patch. I have
been personally impressed with its performance, and the chance of infections
and embolic complications do not exist with this product. I am extremely
enthusiastic about the Syvek Patch d/t its possibilities in medical arenas
other than the cath lab (ie., surgery, ED, etc.). Give me the Syvek Patch
any day. Same ambulation times, no risk of allergic reaction, infection,
or retroperitoneal bleeds. For diagnostic cases, it is probably a major
waste of money to use Perclose, Angioseal, Vasoseal, or Duet. These devices
cost between $175 and $225+, depending on your contract. The Syvek Patch
will cost you approximately $50, without the complication risk. • Has anyone developed an opinion yet about the
Syvek patch? • Is it possible to have an allergic reaction to
the collagen in the Angioseal device? • I am a CCU RN in Perth Australia. We use the Angioseal
with a lot of success however we implemented quite specific nursing practice
guidelines, which all but eliminated any problems. The Perclose is still
an issue with bleeding and hematoma formation. I am in the process of updating
the nursing guidelines for the perclose would be interested in some feedback?
Also what is the preferred method for achieving hemostasis mechanical or
digital pressure? • I had an angiogram done with perclose device closure
and my ileohypogastric and ileoinguinal nerve was damaged! It has been
almost two years and I am still in severe pain! Neurontin helps but I can
only tolerate a small dose. Are there any other neuropathy reports out
there? • Recannulation of the Angioseal after restenosis
of the LAD. Use of balloon pump and high doses of blood thinners; Lovenox,
plsvixx and aspirin to prevent restenosing • We have been using the Perclose procedure at our
hospital and have had some complications requiring the application of the
C-clamp or manual pressure to be held. I am currently collecting data at
our hospital on patients that developed hematomas or external bleeding
and would like to compare the results with other hospitals . If anyone
else has had similar problems and collected similar data please let me
know. • For all the cardiologists out there, how have
these closure device companies attempted to market their device to you?
I am very curious as I feel I have a design that is safer and more reliable
than those out on the market today. I am a biomechanical grad student at
Stanford and would love the opportunity to speak with any cardiologists
that are willing. • How does the sheath break in the Vasoseal? Is
this from technique or product. Is it obvious when the sheath breaks? If
so , what are the signs ? • We recently began using the newer generation Perclose
device, and I have noticed that patients experience much more pain w/ closure
than w/the older Perclose. This is despite infiltrating the area w/ Lidocaine
(no epi) prior to closure. Can anyone support my observation and provide
recommendations? • Go to vascularsolutions.com and
look at their device. Not approved yet, but should be out soon. • I am not a medical professional, but I am trying
to understand what could have gone wrong with my mother's recent angiogram.
You sound like you have had some experience with femoral closure devices.
If you would be so kind, could you please read the following and let me
know what you think. On 12 April, 2000 my 62 year old mother entered a
very reputable hospital in good health to have a routine angiogram. She
has had one before and she was not too concerned about what was going to
happen. Upon completion of the procedure the opening was treated with a
femoral closure device. After about an hour in recovery her leg went completely
numb. To be brief about it, some of the collagen had gotten into her bloodstream
and blocked an artery. A four hour surgery was performed to remove the
blockage, during which time she was given 4 units of blood. As a result
of the blood transfusions she contracted Adult Respiratory Distress Syndrome
(ARDS), she has a significant hematoma in her abdomen, and is currently
on a ventilator in addition to suffering from infections, high fever etc.
She remained in critical condition for 3 days, and is currently in serious
but stable condition (now going on two weeks). My understanding is that
her recovery will be long and she will be dependent for quite some time.
I don't claim to know anything about medicine, but what I have read about
these closure devices would indicate that one would really have to try
to screw the procedure up. In your experience have you ever seen this happen?
If so, what are the probable causes of ones arteries being blocked by such
a device and what questions could I ask the doctors etc. to find out what
happened? • I am 48 year old female who had Vasoseal April
12th. No problems other than the small knot in the groin area. • I was needing information on the Angioseal/Vasoseal,
one of our physicians has recently started using the Angioseal. I am having
trouble finding a CPT code for this & am not sure if we can charge this
out as a separate procedure. Please help! • We use Vasoseal on approximately 80%-90% of our
patients with wonderful results. I don't have the numbers right in front
of me, but we did about 2000 procedures last year and off the top of my
head I can only remember very few hematomas, and no other complications.
We also do immediate deployment of Vasoseal on a majority of our interventional
cases. As long as the ACT is less than 300 we haven't seen any problems.
Just be careful when you are pushing the plug through the sheath. Those
sheaths are very weak, and they can break and become lodged in the patients
groin. Perclose is a devise that we use less frequently, and with less
success. We have had no complications that required the patient to go to
the OR, however we have had to C-clamp several patients for hours because
for one reason or another the Perclose stitches didn't end up in the right
place. On two occasions the Perclose needles have ended up becoming separated
from the device while still in the body. If anyone has had similar problems
with Perclose, I'd like to hear about them. • How do you manage the femoral access site closure?
Is PerClose, etc. worth the cost? What is the cost? Are their other options? • As a patient, I had a Perclose after restenosis,
worked great. Recovery was 5 hours faster than a open wound. I did have
more pain during the stiching though. The tube was left in place for 4
hours as I remember, and removed without any problems. I hope this helps,
as I'm not a medical pro. Dr. Emerson Perin Texas Heart Institute, Houston
did the procedure. • Yes, I think femoral sealing devices have place
in today's interventional field. Such devices must be effective, safety
and easy to use. • What are the pros and cons of today's vascular
hole closure devices (perclose, angioseal, vasoseal)?? • Do femoral access closure devices such as AngioSeal,
VasoSeal, etc. have place in today's interventional field considering the
cost of these devices, and also absence of need for the continual anticoagulation
treatment after PTCA & stenting? • How do you manage the femoral access site post
interventional procedure and post diagnostic procedure at your institution? |
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