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Angio-Seal, StarClose and Vascular Access and Closure Devices (2005 archive)

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This is the archive of questions and comments about vascular closure devices, like AngioSeal, StarClose, VasoSeal, Perclose, Syvek, etc. from 2005.

Other postings can be found here: Current, 2010, 2009, 2008, 2007, 2006, 2004 and earlier.

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Archived Postings from 2005 on This Page (92):

• Holy smokes. . .lots to read here. Thought I'd give my 2 cents on this topic. From what I have read, some of the pain that we are subjected to is a result that developes from LIMPING! We tend to "lean" forward in an attempt to "not" place pressure on the area that was stented. Believe it or not, no one is really use to walking that way. This increases pressure on your back and the muscles around the entry site like you would not believe. Some of us can cause pain to develope by unintentually disturbing the Sciatic Nerve while placing that load on you back. . . this can explain the pain in the hip and down the leg. It is important to develope confidence in the seal as quick as you can, and walk in a normal fashion. Walk slower, but remain upright with as normal a stride as possible if you're unsure or feel worried about the entry site. Having 7 recent angioplasties, my last one (entry site always in the same spot) I was absolutely pain free simply because I was confident about it holding just 3.5 hours after the procedure. It still got Black and Blue, and still swelled to a slight lump, but the pain never was an issue. I am sure it was all due to not babying it and not causing the excess load of leaning forward while I walked. Good luck to all.
RayZ, San Diego CA, December 07, 2005

• I had an angio-seal after a heart cath. 11-22-05 and was told to return to normal work duties 11-25-05. On 11-26 pain in right groin was so bad that I ended up in ER with severe infection and swelling in the right groin area. I was hospitalized for a week taking strong antibotics by IV and told that if any symptoms returned after completing oral medication at home to return and surgery would probably be needed. I still do not understand everything that is going on with me! Has anyone had similair problems.
Ronnie , December 05, 2005

• Ray, if you stayed in the hospital overnight with a heavy weight on the groin area, then you did not get one of the vascular closure devices discussed on this topic. You had your femoral puncture site sealed via manual compression. Angio-Seal, the most widely used vascular closure device, was just coming on the market in 1996, around the same time you had your angioplasties. The question would be have you had this pain at all during the past eight years or is this recent? If this is a new development, it is probably not be related to the femoral punctures at all, but may be signs of something else. We always recommend that patients consult their doctors, as you are doing. Please let us know the results.
Angioplasty.Org Staff, Angioplasty.Org, December 03, 2005

• Hi: I am a 55 year old male in Ontario Canada. I had 2 angioplasty procedures done approximately 8 years ago. I have also had type 1 diabetes for 44 years now. Just recently I have been experiencing significant pain in my right groin where the incisions were made about 3 months apart. I am okay as long as I am moving but when I sit in the car or on a chair for a short period of time the pain is very sharp when I get up and shoots down my right leg. But as soon as I get walking the pain is gone. I do not know how the incisions were closed but on each occasion I had to stay overnight in hospital with a heavy weight on the groin area. If anyone has experienced this problem I would be interested in knowing if you have received any answers. I will be seeing my physician soon on this. Ray, Toronto Canada
Ray Banks, Toronto Ontario Canada, December 03, 2005

• I am very relieved to have found this site. A couple of weeks ago I finally looked up angio-seal online as I realized that it had been months since the cardiac cath...Feb 2005...and I felt that I should be feeling better. From the very first I had terrible nerve pain in my right foot (I did go back to the dr. two days later from this pain when an ultra-sound was given to make sure there was no blood clot)..especially the last three toes to the point where I can hardly put any weight on the right foot making walking very difficult - I am always on the go so this presents a difficult challenge for me. The original site and surrounding area throbs non stop - where I can not sit in one spot for too long..So, now what? Will this go away at some point? What options are there for relief? Do I return to this doctor or go to the primary care doctor...Or do I chalk this up to another medical wonder and keep wondering why I went forward with this test?!
CM Watts, Salt Point NY USA, December 02, 2005

• I had the angio seal put in my right leg after a catherization and after 3 days had a low grade fever for 4 weeks. Leg ached , swelling in the groin, and after 5 mo. it was better. Still have pains in vein in leg once in a while. Will this continue? Cant wear anything tight against leg.
wm judkins, ft myers fl usa, November 22, 2005

• Recently been released after angiogram and stent fitting, this is the second op in two months, in the first one I had four stents fitted in a row as I had an arterial tear during a major MI, the first femoral inscision did not have a plug, and healed up without a problem, the second one which was done about 6 days ago did have a collagen plug used, at first I had a fairly large swelling above the cut, about the size of an elongated chickens egg, but not hard. That has now subsided leaving a hard swelling that is still a little above the incision and is about an inch long running at right angles to the artery. it does not hurt a lot but there is some discomfort, I am hoping that this is perhaps a normal result. For those of you who have experienced the severe bruising (blue/purple) this is less to do with the procedure and much more to do with the Heparin injection you get at the end of it before you leave the cath table, it will dissipate in about three weeks and is pretty painless. I am a 52 yr Male
Kim, United Kingdom, November 20, 2005

• I have previously submitted information about having a perclose that went wrong on 3-10-2005. Could you please put my E-mail address on this site. This way I can have people respond to me that have had similiar experiences with the perclose. Thanks!
Teresa, ktdlmed@frontiernet.net, Pctn, WV, November 03, 2005

• I had an angioplasty 3 weeks ago. I was told to anticipate a pea size lump in the right groin. The groin had significant pain, no redness or increased temp, but a lump about the size of an egg. I saw my Dr. who could not feel a pulse, and sent me for various studies. Turned out that they were all negative, but revealed a small hematoma at the site. I had had an angioSeal device and wondered if it is common for individuals with this device to have hematomas. I also have a latex allergy and have wondered if the manufacturer does use any products in the seal device that could be cross reactive? Now after three weeks, the groin pain has diminished, but I continue to have right leg pain, behind the knee. I had an angiogram several years ago and they did not use a closure device and I did not have any of these symptoms.
Marianne, Philadelphia, November 02, 2005

• My name is Doug. I had to lay still for 6 hours after cardiac Cath and had an angioseal device used in my femoral artery. I had a hemorrhage immediately,which stopped with ice and pressure. Then the next day 2 more episodes of bleeding. Ultrasound revealed a pseudoaneurysm.The Docs thought it would be OK but pain and swelling persisted and 6 days after the cardiac cath another ultrasound revealed the pseudoaneurysm was larger, and then a vasular surgeon operated to remove the psuedoaneurysm, and he told me the angioseal was floating inside the psuedoaneurysm.I reported the details to the FDA, and I hope everybody else does that had adverse events when an angioseal was used.I don't think Doctors bother to report.
Doug Huewe, private citizen, Springfield, Missouri USA, October 31, 2005

• I had stenting and collagen plug in March 03. Almost immediately I developed a large lump in right groin. It was very painful. I went to ER and things got better, however, I was never pain free. In August 05 the dull nagging pain turned into pain that I am unable to walk with. I will be seeing my heart doctor in about a month for a scheduled check-up, I surely hope to get some answers and relief.
Marlene Binns, , Uniontown, Oh USA, October 16, 2005

• Just thought I'd post an update on my recovery. On or about Saturday of last week I has a huge decrease in pain and discomfort around both entry points. I have continued to progress nicely and would say that I'm about 90 percent on the right (non-angioseal) and about 80% on the left (angio-seal). Hopefully, there will be no surprises down the road.
Rex Rohrs, October 13, 2005

• Hello: I am a female age 45. I had an angioplasty done on 9/01/05. I didn't have any blocked arteries. Thank goodness! I did have alot of the symptoms people discussed on this post with the Angio-Seal (right leg) for about 2 weeks. After two weeks I started to feel better but for the past week now I am experiencing a warm sensation and slight burning sensation off and on all day on the bottom of my right foot running from the middle of my foot towards the back of my foot and running a little towards the back of my ankle. Does anyone know if this could be related to the Angio-Seal? Could it be a sign of a blood clot? Circulation problem? Something else? I don't see any swelling or anything abnormal on my right foot. Also the seal feels like a hard pea. Is this normal? The black n blue finally went away. I sure hope I don't start getting the pains people are experiencing in the groin, leg etc.. area. I didn't know about the Angio-Seal til after the surgery. They gave me a pamphlet/card to keep in my wallet for 6 months that left me scared to death to do my normal excersing, swimming etc.. fearing I was going to puncture the area and bleed to death. Appreciate any information you can provide me. ps: I'm glad I found this site! It is very informative. Kelly
Kelly, Nixa, Missouri, October 10, 2005

• Just to give another viewpoint, I have had six procedures with the last one about a week ago. The first two were with manual pressure and the last four with Angioseal (different Dr). I think they are great. I am up in a few hours. The bruising and lumps disappear after a few weeks. Obviously I tolerate them well. My second doctor does an average of six procedures a week and is older. I think that his experience also counts.
Roy E, Gilroy, CA, October 10, 2005

• Rex -- your post gives new meaning to the phrase "side-by-side comparison" -- sorry, couldn't help it. Seriously, you are certainly doing all the right things: from having the nurse examine you before you left to having a physician look at you if this doesn't resolve itself. It sounds like you are experiencing what is called a hematoma (a caveat: please do not use this or anything you read on this site or the internet in general as a substitute for professional medical advice). A hematoma is a collection of blood under the skin -- a known complication from femoral punctures, whether vascular closure devices like AngioSeal are used or not. Sometimes they are minor and resolve themselves. However, we would recommend that you call the cardiologist who did the procedure to report this and have someone on his staff talk to or examine you -- they would be more familiar with this complication than a GP, but see what they recommend. And please, let us know how you fared -- the outcome would be of help to other readers.
Angioplasty.Org Staff, Angioplasty.Org, October 6, 2005

• I just recently had two separate heart caths done on back to back days. The first was to take care of a 90% blocked artery and the second to take care of a 65 % blocked artery. I actually had to different doctors perform the two procedures. The first Doctor went up through the right hand side femoral artery and chose to use the pressure technique to close the site. The second went up the left side and used the Angioseal. It is now 5 and 6 days after each respective surgery and I have to say that I'm becoming worried about the Angioseal site. The doctors and nurses assured me that the pain and discomfort of the Angioseal would subside in a day or two. This has not happened and is still extremely painful. The bruising on that side is much worse than it is on the other with severe purple and black discolorization all the way to the base of my genitals with my left testicle being completely black and blue. Before leaving the hospital, I had the nurse examine that area and was told that what I was experiencing was not uncommon. The pain is basically confined to the pubic area and my left testicle. It also extends upwards into my lower abdomen to just below and to the left of my navel. I am scheduled to be off from work until this next coming Monday and if things don't improve at least slightly by Saturday I will be going in to talk to my GP. Ironically, my right side is healing quite nicely.
Rex Rohrs, Whitewater, Wisconsin, October 6, 2005

• I had an angiogram fitted with angioseal nearly three weeks ago and have been in agony ever since. I revisited my cardiologist who gave me strong antibiotics, visted my doctor twice, given pain killers which don't work and asked advice on the cardiology careline. Where to go now? I told myself the results of test were wonderful, no blockages, but was it worth knowing this for all the pain I have received? Today is thursday and I will be ringing cardiologist for another appointment tomorrow, Friday.
anne murray, nyaeg, united kingdom, September 29, 2005

• My mother died on June 4, 2005 from complications of an Angio-Seal device that failed to seal. I would like to provide everyone that looks at this site information about reporting the failure of medical devices. These failures can be reported by patients to the FDA on their "MedWatch" site at: www.fda.gov/medwatch. Perhaps if enough people report these failures, something can be done about their misuse.
Debbie Chaussee, Olathe, Kansas, USA, September 29, 2005

• I am so glad I found this site!!!! I had a heart cath done 4 years ago (2001). I have had such pain in my right groin area. Went to Doctor after Doctor. Found nothing wrong one Doctor even suggested it was all in my head. When this was done they put a angioseal in. I ask my heart doctor if this pain could be from this. I got a fast NO from him. I have heard from other women that they have the same pain. Could it be the seal is bad or placed wrong. Help help help!!!! One night after not being able to sleep i turned the TV on, there was a commercial on from a lawyer saying if you had a heart cath and an angioseal was placed at groin site call this number for class action lawsuit. By the time I found a pen number was gone. Has anyone else seen this. I am 56 years of age and this is the only problem I have thank the Lord. I cannot use my right name because I work at the hospital this was done at in Ashland, Ky.
Bridget, Ashland, Kentucky, September 26, 2005

• Catherization was recommended by my primary because he thought my cardiogram was irregular. I had catherization in August 2004 by an experienced cath team. The angio seal was used to to close the right groin artery site. Finding was,only 20% blockage widely scattered. Upon leaving the hospital I was given a folder on the angio collagen seal. The folder read that I should carry the information with me for six months, in case of emergency. I had no problems initially, but, at the end of the sixth month, trouble started with my right leg. Severe burning pain in the center of my right upper thigh upon exercise, especially stairs, stepping down, rolling over in bed, sudden movements, also hip pain,etc. I have seen 3 doctors four times since April. The first 3 diagnoses were bursitis. Nothing turned up on xrays or sonar gram. I was given cortizone shots and oral prednisone. Nothing helped. After an MRI the ortho doctor said I had a herniated disk. Now sending me to therapy. When I say I have not had one back pain through this whole episode, they tell me that is not unusual. My whole right half of my pelvic and hip area are swollen, now that area is painful with exercise. When I do any of my slow activities, gardening, walking, standing more than 10 minutes, the burning pain in my upper leg really kicks up and my leg feels very heavy, sometimes it feels like needles in my right leg with cramping in my right toes. I relate all of my pain to the angio seal that was placed in my right groin. Reading some of the post angio seal usage problems that are posted on this site. I feel better knowing I am not crazy, because I think all the doctors so far are wrong. I was a very physically active 69 year old, previously, very healthy. I am very afraid that to ski, swim, bike, walk, golf, go to the gym or ride a bike are all now in my past, because of the collagen angio seal. I am thinking of asking about having an arteriogram procedure that should show if something is wrong in the artery, but worried that might make things worse. My next step will probably be a neurologist, who may understand all the nerves that run through the area of a catherization. Like all medical procedures and products and drugs, everthing cannot be the right thing for everyones' bodies. But, we will probably never hear all the problems that have happened. Thanks for sharing and listening.
milli becker, retired investor relations, allison park pa, September 20, 2005

• I am a 58 yr. old female who 5 days ago underwent an angiogram. I, too, was not told or given a choice in how the puncture in my femoral artery was to be closed. While on the table at the end of the procedure my cardiologist explained that he was going to put in a collegen plug which will be absorbed by my body and I will be up on my feet in an hour and a half. I could return to work on Mon. (today) and he did not need to see me for a couple of months. I should just continue with the statins ,Plavix and baby aspirin as the blockage in my left coronary artery was between 40 - 50%. My right femoral artery was the procedure site. I have been limping due to pain. When attempting to arise from a seated position I feel like I have a wooden stake in my groin. My groin and pubic area have turned indigo blue. I have pain when I attempt to get behind the wheel of my car...so I still am not driving. I have no signs of infection thank God but do have a lot of discomfort...especially at night. I usually sleep on my belly or side and cannot do that. I put a pillow under my knees and lie flat on my back to reduce traction on my pelvic area. I had an abdominal hysterectomy in '97 and had less discomfort recuperating from that than this diagnostic procedure. I am definitely not a happy camper. I don't want to be a whiny complaining patient but I will call my cardiologist if I don't feel better tomorrow. Enough is enough.
Phyllis Lazzaro, R.N., , East Rockaway, N.Y., R.N. (Lazz64@aol.com) on Monday, September 19, 2005

• Dear all, If you are having problems after your heart cath from a closure device find a vascular surgeon in your local area. They deal with issues like this frequently and can help you as they fix these types of problems. Make sure that they report back their findings to your cardiologist and most importantly the hospital where you had your heart cath so they know what happened to you and prevent it from happening to someone else.
Dy, Independent, CA, September 10, 2005

• Any problems with an angioseal device should be reported by patients to the FDA Medwatch form 3500 or FDA form 3500 voluntary reporting. Just get on the FDA website and and you will be able to find out how to do it. Its just one page to fill out. Angioseal devices have been found in pseudoaneurysm of the femoral artery. I don't know if physicians report adverse events so the patient needs to do it. The FDA cannot recall anything if there are enough complaints about problems.
D. Huewe, private citizen, Springfiled, Missouri 65804, September 01, 2005

• Hi, I'm a 41yr old type 1 diabetic female. I had a cardiac cath procedure 8/19/05 with the Perclose.No bruising,bleeding and very little pain. Sorry to hear about everyones problems after this procedure. Guess I'm the lucky one. Feel great. Maybe it was the hospital, DR.and staff? Cheers for St. John's Medical Center.
Kathleen Wimberly, Tulsa/Ok., August 30, 2005

• MedWatch Form 3500 or called FDA Form 3500 which you can download off the computer and give the details to the FDA. Everybody that's had a problem with the angioseal should report it to the FDA. The physician may not have reported it. The angioseal has been found also floating inside pseudoaneurysm's that develop on the femoral artery.
D.Huewe, Springfield,Mo. 65804, USA, (dhuewe2@mchsi.com) on Tuesday, August 30, 2005

• I had a angioseal put in after a cardiac catherization on 12 August 2005. The surgeon said there should be no pain but I was in pain for a week after and walked with a limp. Since then a lump has appeared though it's not painful. I really do think physicians should stop saying there's no pain after one of these devices is fitted because looking at this site this is obviously not the case with many patients.
Atanu Roy, London, UK, August 27, 2005

• I had a cath done in March 2004. I now experience pressure pain in my right femoral area. The Dr. used Perclose on me. Has anyone found any articles on side effects like this so long after the procedure?
Holly, Accokeek, Maryland, USA, August 15, 2005

• My Father-in-law had an angioplasty done on 23 June. Angioseal closure was attempted but some part slipped into the femoral artery (don't know the exact details). So a normal proceedure was used to close the artery. Doctor assured him that there is no problem that part of angioseal is floating in his artery. A month later he has major problem in his right leg. Scan showed severe stenosis at the trifurcation of the right popliteal artery behind the right knee. Pulse in the right leg was very poor.. So an angiogram of right leg was done only to find a jelly like substance causing blockage in the artery behind the right knee which they realized is the part of the angioseal which was floating around from earlier angioplasty. They tried to remove the blockage using various methods during this angiogram but were unsuccessful. Since this proceedure was done in India where they don't have much experience in treating the complications of angioseal, we have been given conflicting advise for removing this blockage. We have been told that a surgery to bypass the blockage should be done. Other advise is to cut the artey and clear the blockage and put a vein patch to repair the artey. We were wondering if it would dissolve on its own since it has been in the artery since 50 days now. We are obviously confused.
Sudesh, Delhi, India, August 12, 2005

• I had a heart cath on July 21, 2005 and had an Angio-Seal inserted. For the first 48 hours I seemed fine with little bruising and pain. Then I started to feel pain, as if I had pulled a muscle above the incision and have been experiencing pain in my groin area and both hips almost daily, especially towards the end of the day. I was treated for a bladder infection (blood and bateria) and took Bactrim, but I don't think the infection is the source of the pain I am feeling now. I feel that the Angio-Seal has contributed to pain in my hips and lower back since I suffer from arthritis. Could I be allergic to the collagen and is that intensifying my arthritis? I don't see my cardiologist for 3 weeks and am getting sick of taking OTC pain pills every day.
Rita A. Keiser, Omaha NE , 2005 (rgkeiser@cox.net) on Saturday, August 06, 2005

• This is Jane again. This seemed too simplistic to mention in my second posting, where I reported that the pain subsided in a week. However, I did something different on Night 6 after the AngioSeal was implanted. Normally at night, when I first lay down in bed, I tense and relax all my muscles and stretch as well as I can, simply because it aids in my relaxation so I can fall asleep. I hadn't done my stretch since the AngioSeal was implanted because I was afraid of opening the wound. On Night 6, I figured it would be safe enough to stretch, and I'd been hurting so badly I felt I needed it. While my leg and hip hurt more doing the stretch, I pushed past the pain and did it, anyway. The next morning all pain was gone. Again, it seems awfully simplistic, but many of the best things in life are. If it did help in "fixing" me, I hope it works for others, too.
Jane, Rochester, MI USA, July 26, 2005

• I have an angioseal on my right thigh done 2yrs ago and like most of you I have pain and now I have like a sore that leaks all day every day for two weeks. I thought that may be something else but reading from all of you it has to be the angio seal because since the first day I have cramps in my legs and some days are better than others
ivelisse gonzalez, springfield,MA, August 05, 2005

• Krystal- My 34 year husband had an angio-seal placed after having a stent placed in his brain August 04 He was in pain after the 90 days and then he started to get better and he was in little to no pain. Now a year later and he is in terrible pain in his right hip, they have done x-rays and found it not to be muscular or joint pain. Nobody seems to have any answers for his pain, it grows worse everyday! The doctor has ordered an MRI but no one wants to do it due to the stent in his brain. Why is his pain so sever a year later?
Krystal Flippo, , Phoenix, Az/USA, July 28, 2005

• My name is Janine. My mother had an angiogram in Feb. 2005 and is still recovering from complications. Shortly after the procedure she began bleeding internally, the bleeding site could not be found and consequently she required exploratory vascular surgery. I was told by the cardiologists that he misplaced the angioseal stating that fascia can mimic the feel of the artery and that the vascular surgeon find the seal in the fascia. My mother wound up in the ICU, experienced life threatening conditions post this procudure, including almost 2 weeks on a ventilator. After doing some rsearch, including getting a copy off the OR report, I learned that the angioseal was found coming out of a muscle in her groin. In addition an artery was severed with pulsating blood flow. One thing I would like to mention to the others who are having pain, stiffness and weakness....find a good physiatrist(rehab doctor), and try some physical therapy. Through massage, stretching and strengthening exercises you may have some luck and be able to reduce your symtons.
Janine, Physical Therapist Assistant, Pequannock NJ, July 26, 2005

• This is Jane from Rochester, Michigan, writing back to advise that all the pain I was experiencing in my right thigh and hip and lower back is gone. Mainly, I wanted to let others who are logging on to this site for the first time not to get too scared too quickly. While I was told there would be NO pain, there was plenty, but it was over in about a week.
Jane, Rochester, MI USA, July 24, 2005

• Cilia -- Sorry to hear about your complications. we would call your attention to an article published in the Journal of Invasive Cardiology in June 2004 (J Invasive Cardiol 16(5):247-250, 2004) titled "Impact of Gender on Femoral Access Complications Secondary to Application of a Collagen-Based Vascular Closure Device". It does show that there were significantly more complications with collagen-based closure devices (in this study, AngioSeal) in women than in men, although the overall rate was still low for both (1.6% vs. 0.2%). As we've said before, there have always been a certain number of complications with femoral closure, whether manual (with sandbags and pressure) or with the newer collagen devices. The benefit of the latter is to allow the patient to ambulate within a couple of hours as opposed to lying flat for 8 or more. But as with any medical procedure there are times when things don't work right -- and yours seems to be one of those. The JIC article speculates that smaller arteries in women may account for the increased complication rate, but we are not aware of any type of "ban" that has been placed on their use in some states as you have written. Could you be more specific?
Angioplasty.Org Staff, Angioplasty.Org, July 23, 2005

• Hi, I'm Cilla,and I had a heart cath on 10/05/04,the angio seal was used,I was not given the choice of which device to be used,I was not even aware of which device was used, I was never told that there were complications with this device,and that in some states,the usage of this device is banned from being used on women,because their arteries and veins are smaller than a mans.Right after my procedure was done,through my right groin,I had severe pain in that area,I was given a mild pain pill,which did nothing,I was then given something stronger,and of course I was sent home.To this day,I have pain almost daily,I have had reactions to pain medications and to the neurontin,the MRI ruled out blood clots,other tests ruled out other complications,but there is still pain which is not normal,I'm also a nurse and followed the post op instrutions to a tee.THERE IS PROBLEMS WITH THIS DEVICE AND ONE DAY I WILL FIND OUT MORE,I've already started my own research,and I will continue.Could the fact this device takes less recovery time,so more are done,per day?Who is really benfiting from this quicker procedure?????.NOT the patient who has the problems,my life has been altered,I can only work part time,now.I can't even put my own socks on or stockings.This is my second heart cath,the first one done with the sand bag method,no problems at all.I'm only 47,but have a high risk for heart disease on both sides of my family.Both parents had quadrupal bypasses at 65,my 32 year old brother had a quadrupal bypass,he died at age 40 with heart problems,my 35 year old brother had a heart attack,and had stent placement last year,my sister has WRP,I will never allow the usage of the angio seal again,I feel in some people they are very unsafe.......
Cilla Ramia, Concerned patient and nurse, Jacksonville,Florida, July 21, 2005

• AngioSeal was inserted into my femoral artery 10 days ago after PTCA w/ double stent in my heart's left circumflex artery. As for the catheter site, I am experiencing bruising that is triangular in shape, approxiamtely 8" inches on each side. The bruising ranges from pale yellow/green to patches of red to deep purple. I assume its normal post surgery injury. The incision site feels like a hard pea or small marble. As for pain, Its mild to moderate. Some times it feels like I have been kicked in the groin, sometimes it feels like a charlie horse in the bruising area. I also have some right thigh and right lower back pain.I have to walk with a limp and am unable to sleep well at night. I am unsure how long these post surgery symptoms will last. I thought after a couple of weeks they would be minimizing but that isn't happening yet.
B. Viggiano, Syracuse, New York, USA, July 18, 2005

• I am a 44-year-old female in good health who underwent a cardiac catheterization on July 8 (no blockage was found). The femoral artery was sealed using an Angio-Seal vascular closure device. The bruising today is about 25-30X the size it was on the 8th, and the pain I experience varies from high to mid-grade. Today is July 11 and, even though the discharge instructions I received from the hospital advised me to notify the doctor of increased bruising and discomfort at the insertion site, he seemed uninterested during my visit this morning. I am walking with a limp. The doctor said "you should be better in 2 days". If I'm not, I will contact the doctor again. If necessary, I will seek another doctor's assistance. I was not informed that I had any choice in the type of closure performed and did not know treatment included an implant device. This is, at times, extremely painful. Reading the information on this site is scary, since I don't know how long I will have to endure the pain in my right thigh and hip. Also, I cannot find any information advising me what can normally be expected during the healing process. If St. Jude's can advise, I would really appreciate knowing what is normal.
Jane, Rochester, Michigan, July 11, 2005

• Ronnie -- the term is "adipose tissue" and a definition can be found here. And it is, in fact, just like you say -- a "chunk of fat bulged out". I don't see any references to this problem being a result of Angioseal, but the substance in Angioseal and most other vascular closure devices that promotes closure is collagen. Collagen is a protein, the most common protein found in the body. Collagen, like adipose tissue, is part of the general heading "connective tissue". There might be a connection, but it might be due to something else as well.
Angioplasty.Org Staff, Angioplasty.Org, July 09, 2005

• This is from Ronnie in Flatwoods,Ky this is a followup of the heart cath i had on may 12-05.I have swelling of the right upper leg just on the outer side of the groan, the swelling is about the size of my hand and looks like a chunk of fat bulged out on the side of my leg not sore,hot,red or throbing, cardio said he had never seen this happen before, had a ultrasound done was ok, then had ct scan the findings is atapost tissue with slight enlargement of lymph gland. what is atapost tissue and what could cause this.Could this be from the angio seal or something else. has this been reported before. if any info of this please e-mail ronnie_blackburn44@yahoo.com thanks
ronnie, Flatwoods, ky, July 09, 2005

• Like everyone else, I had a cardiac cath procedure (performed in December 2004 - my third - and the only one to have used this type of closure). I was told that the "plug" would dissolve in about 90 days. Here it is, July 2005 and I still have a painful lump at the site, that seems to only become more aggravated every day. Only 15 to 20 minutes of sitting in the driver's seat has me in pain. The manufacturers of these devices need to go back to the drawing board for more research, I'm afraid. - they are miserable.
Amy Kolka, Bay City, MI, USA, July 06, 2005

• Nicolina -- we're starting to get some postings in this topic from patients who have had manual compression, not one of the newer vascular closure devices -- if we get more perhaps we'll start a separate topic -- but as you can see, there are complications and problems with the older methods as well. In any case (and remember, we do not and cannot give medical advice -- nothing stated here sould be considered a substitute for advice from your doctor) you've a clearly documented bleeding complication and you are now feeling discomfort again. We would urge you to "push through" the healthcare bureaucracy if you are not feeling right. You were correct the first time about the bleeding. At the least, the medical professionals should provide you with a clear explanation of what you're feeling and why -- if for nothing else than peace of mind, which is very important in recovery from any procedure. But pain, distended abdomen, headache, etc. seem to us like reason enough to seek attention. Good luck and let us know the outcome.
Angioplasty.Org Staff, Angioplasty.Org, July 5, 2005

• Hi, I am a 36 year old female that just recently had a cardiac cath on July 1-2005. Immediately following the procedure during manual pressure I began complaining of pain in my lower right abdomen. The nurse called the doc and he said everything was fine so I was transferred to recovery. In recovery I continued to tell the nurse that my abdomen was in a great deal of pain. Irregardless of my complaints and low blood pressures, I was discharged on schedule. That night I tossed and turned for most of it and didn't get much sleep if any. I returned to the hospital the following morning and a ct-scan reveiled that I had been bleeding into my parateneal cavity. Over Friday and Saturday I had Hematocrit and Hemoglobin drawn and they saw no dip in these bloods so they released me to home on Monday morning. The problem is that Tuesday July 5 I sit here with a distended abdomen in quite a bit of pain again. Is it possible for me to start bleeding again and when should I be worried enough to return to the hospital. If my H and H were good is it possible that I have a slow bleed and my body is compensating by producing more RBC's and lowering my blood pressure. The other thing I am concerned with is that I have had a head ache since this procedure that won't stop is this related as well?
Nicolina Hedrick-Nelson, Hyde Park, NY, July 05, 2005

• I've had 3 cardiac caths, each 6 months apart. A different vascular closure device was used each time; angioseal, perclose and a collagen plug they didn't identify (I only had to remain flat about an hour afterwards). I experienced many lumps and knots post-procedure - especially with the first cath - and a few of them remain even 1.5 years later (you can feel a pulse in these knots). The lumps are obvious and due to their size, the last cath had to be done higher up the femoral artery. My cardiologist never investigated the problem. In fact, when I continued to demonstrate heart problems after a stent was put in my LAD, he said infection was probably the source of ALL my symptoms - with the blockage being a "chance find". He terminated me as a patient and to date, no other cardiologists will accept me - each telling me to return to my original doctor. Does anyone know what these knots and lumps are around the closure site? I'd feared that perhaps a small aneurysm or two had formed - but I have nowhere to go for help in finding out.
Pam, Sierra Vista, AZ 85635, July 03, 2005

• M. Collins -- Allergic reactions to vascular closure devices are not unknown. The device uses collagen to "seal" the artery, and the collagen comes from cows (bovine collagen) and a very small percentage of people may be allergic to bovine collagen or may experience some of the other possible adverse reactions listed on on the Precautions section of the AngioSeal website. You might also have your cardiologist call St. Jude for information on this. They publish contact information here. You may try calling yourself. Perhaps they have a clinician on staff to help patients deal with adverse reactions. We'll try as well. Allergic reactions can also occur from a variety of other sources, the contrast dye used in the procedure, certain medications, etc. You did the right thing to consult your cardiologist. Hopefully you can get to the bottom of the problem. Please let us all know.
Angioplasty.Org Staff, Angioplasty.Org, June 26, 2005

• I had a cardiac cath at the end of April and an angioseal was used. The following day I had approx 5 minutes of intense, crampy pain. There was no noticeable swelling, however the crampiness persisted. I was unable to walk normally and sitting was uncomfortable. After 2 weeks, my leg started swelling. I returned to the cardiologist for an ultrasound and a groin dvt was discovered. At the time, I was told this was highly unusual and not a known complication directly related to the cath procedure. I returned to the cardiologist recently and learned that a second patient had the same unusual complication a week later. In retrospect, they are wondering if the other patient and myself had an allergic reaction to the angioseal devise since we both showed lymph node enlargement on ultrasound. The swollen lymph node probably compressed the iliac vein and caused dvt. I have not been able to find clinical trial information to see the incident rates of allergic reaction to the angioseal device. I am wondering if there may be a problem with a specific lot number of the device since the cardiologist office has a high volume of patients and has only seen this occur twice over many years (and both times were within a week of each other approx 6 weeks ago).
M. Collins, Columbus, Ohio, June 25, 2005

• Mrs. White -- this topic is about vascular closure devices, like AngioSeal, etc. You didn't note whether this type of device was used (if your husband had to lay flat for many hours, then it wasn't). Is this still going on? The femoral nerve runs alongside the femoral artery which is the "groin" artery used in catheter-based procedures. It's possible for that nerve to be traumatized and in rarer cases damaged during a procedure. Sometimes these effects are transitory and resolve after a few days. In any case, we definitely recommend discussing ANY unusual after effects with the cardiologist.who did the procedure.
Angioplasty.Org Staff, Angioplasty.Org, June 25, 2005

• My husband had two stents inserted after an angiogram Friday, 17 Jun. He is experiencing numbness and tingling in his right leg on the side angiogram was performed. No pain at the present and no bleeding in the area of groin. Could this be a serious affect and need immediate attention? Thanks for your response. Need soon if possible
Robert E. White, Retired, Carriere, Missouri 39426, June 22, 2005

• I am updating my previous responses of June 6, 2005 when I had a angiogram with an angioseal on June 1, 2005 at Medical City Hosp. in Dallas TX. I went back to the ER a couple of days after the angiogram, they said it was nothing, all the pain and shocking feeling I had in my leg/groin area (I could hardly stand up) so they sent me home; two days later I am back in ER, cannot stand up at all, feeling numb in foot/toes, extreme pain still in my whole leg, shocking feeling when standing thru my whole leg.., admitted for 4 days, they said no blood clots in leg, so they said "all this problems MUST be coming from all your back problems "(previous back surgeries years before this angiogram), "NO way this is from the angiogram or angioseal, go see a neurologist or neurosurgeon to treat my low back area"...I did not have this problem in the right leg/groin/foot area BEFORE the angiogram/angioseal...they just passed me on to someone else..the cardiologist did not even come see me in the hospital, just an internal medicine doctor. They acted like it was just all in my head or my "back" , I still hurt like hell, I could not even walk out of the hospital, but they sent me home and said to rest and get back to normal.. no compassion at all, I still have numbness and cannot sleep and hurt like HELL.. they just acted like I WAS nobody after THEY put this thing in my leg and refuse to take responsibility for all these complications I still have... I cannot work and can hardly stand up I faxed the info on this website/forum and asked my cardiologist to read this site info so he could see it was not just in MY Imagination all these problems I am having, others are having similar symptoms and even worse problems. He was not interested obviously. I am so very disappointed in the way I was and am still being treated after this angiogram and angioseal..They just DO NOT CARE what happens to me NOW. Has anyone in the Dallas area had similar problems with this procedure/device? I had to go online to even find info on the angioseal at all, I was only given a "card" to carry in my wallet stating I had an angioseal in my artery in case of emergency; hell the people in the ER, the ER doctors did not even know what it was and they did not care...
M. Spears ladyredjax4453@aol.com, Dallas, TX, June 20, 2005

• I'm a 48 year old female,I just had a heart catherterization on 6/15/2005 they used a Angio Seal. I have been in pain since, on the same day of release had to return back to the hospital, because of severe pain and could not move my leg, there is bruising in the area and still have pain, also have severe pain in lower hips or should i say buttocks that was not there before, after this ordeal i feel like an 80 year old women, im just so upset about all of this, i also read where after 20 mins some could get up i was told not to move for 5 hours i dont understand that,also have had alot of coughing so can anyone tell me what is going on please,
Lisa Powell, Cottondale, Alabama, June 19, 2005

• James -- if a sandbag was used and your husband was immobilized for 8 hours, then no vascular closure device was used. It was done "old school" using what's known as manual compression -- which is the way all femoral punctures were closed before the advent of vascular closure devices over the past decade. These devices use collagen plugs, and other methods, for sealing the femoral puncture site in a relatively short time. Your story points up the fact that, while we are reading in this Forum Topic about all the complications with these newer devices, there are also a not insignificant number of complications with the "standard" manual compression methods. Whether the complication rate is higher or lower will be the topic of an upcoming article on our site. We don't give legal advice -- not even medical advice really, just places to find information. I would thoroughly discuss your husband's situation with the vascular surgeon and/or a neurologist. Please let us know what happens and if you get any useful information. Good luck.
Angioplasty.Org Staff, Angioplasty.Org, June 16, 2005

• My husband had a heart cath with stent placement on 4/21/05 (Thursday). Records do not indicate type of closure. They had a sandbag on his right groin for 8 hours then removed the sheath and placed sandbag for another 4 hours. The sandbag was removed and he was told he could turn side to side in the bed and get up and walk in 6 hours. The sandbag was off for maybe one hour and he started having burning at the cath site which was the femoral artery bleeding into the thigh. The sandbag was replaced and was not taken off until about 8:30 a.m. on 4/22/05 (Friday) at which time we were told by cardiologist he could go home and return to work on Monday; he did not detect the small hematoma when he discharged him. I first attempted to take him home and got about 15 miles from hospital and my husband started burning at cath site and upper thigh was swelling. I took him back to the cardiologist who sent us to Radiology for ultrasound and injection of thrombin to clot artery; this was done 3 times before artery was clotted off. The Radiologist had us wait to hear from the Cardiologist; about 1 and 1/2 hours passed we were still sitting in hallway and Radiologist said he had not heard back from Cardiologist "Go on home you will be fine." I attempted the second time on Friday 4/22/05 to take my husband home. I got about 1 mile from home (about 35 miles from hospital) and my husband began having severe pain at cath site and upper thigh; upper thigh was swelling again. Luckily the bleeding stopped and I had to take him back to the hospital where he was readmitted. About 3 a.m. on Saturday 4/23/05 the artery started bleeding again at which time the Cardiologist was called in and he called in a Surgeon who performed emergency surgery to close the femoral artery with 2 stitches and 19 staples to close incision. He had to be given 2 units of blood because of amount of blood he lost. The incision is healed but the hematoma has not gone down at all. It is now 6/13/05 and we are going to another surgeon to have this hematoma drained and we pray there will be no infection because of all the old blood in the thigh. We were told there were 2 units of blood there but it would be dissolved into the body. For some reason this did not happen. On top of all this my husband has developed symetrical neuropathy - both hands thumbs, forefingers and middle fingers no feeling and both outter thighs burn and hurt so bad he cannot sleep, he has to have pain medication and is on Neurontin which is not helping him. Any one dealt with or heard of any of this? Do we have a law suit regarding this situation?
James, June 13, 2005

• my mother bled to death after a perclose angiogram. lawsuit pending. this was in feb of 2001.
gerri nizza, ridgewood, nj, June 12, 2005

• As a possible help to the many complaints and questions we get in this topic, here is information on possible complications of AngioSeal from the St. Jude Medical company web site. I would also call your attention to a press release from St. Jude Medical from January that announced their 5 millionth AngioSeal implant. So does that negate the concerns and problems reported in this Forum Topic? It's true that the complication rate is low, but it's not zero! In the words of Andreas Gruentzig, the inventor of coronary angioplasty, from back in 1985, "I am speaking all the time about complications...Well fortunately those complications are rather minor, in percentage....the reason I speak up about complications. It is not because it is such a major problem. But it is always my major concern in selecting patients or treating patients." (See the RealVideo clip.) He was speaking about complications of angioplasty in general. Today complications from vascular closure devices are relatively low statistically. Yet if you happen to be one of the unfortunate patients who suffers a complication, the effect can be devasting, as noted in this topic. We can only state that patients should be as well-informed as possible and that, should a complication occur or be suspected, do not hesitate to contact your cardiologist. Don't worry about bothering him/her. Early recognition of a problem may make all the difference.
Angioplasty.Org Staff, Angioplasty.Org, June 10, 2005

• I am 44 yr old female. I had an angiogram 5wks ago w/the angioseal. While in recovery had cramping in right leg, barely a pulse in right foot. Vascular Surgeon emergently took me to OR to find a critical blockage in femoral artery caused by angioseal which had traveled also piece of plastic. Been out of work ever since & am in chronic pain 24/7 in groin & right leg. Also numbness. My surgeon says I may need more surgery in the very near future! I wish the cardiologist had informed & discussed w/me the potential risk of the angiogram. I was told I was extremely lucky to have kept my legs also to be alive! Anyone have any suggestions on how to function w/this condition or would like to share w/me their experience, would love to hear from you. email: kellyty43@aol.com
Kelly, North Arlington, NJ, June 07 & 09, 2005

• I had an angiogram (right leg) on June 1, 2005 at Med. City of Dallas, TX, an angioseal was used..I have had pain not only in the groin area (where I have alot of "knots-lumps" in the groin area) and have had alot of pain and numbness in the right leg, especially have pain/numbness/throbbing in right foot/big toe.. pain in constant, have had slight fever since angiogram last week, top of my foot is getting numb and ankle/calf/thigh feel "weird--tingling/trobbing at times, and hard to walk on; cannot sleep hardly at all, maybe a 2-3 hours in a 24 hour period.. was not told of the problems I would have after this procedure..I feel worse every day...when should I call the doctor ? what is the normal pain/symptoms after this procedure with the angioseal? I was only given a little brochure about the angioseal, it does NOT state what is normal after it is put in my femoral artery and what is not normal and what symptoms to look for and WHEN to call my doctor to find out if something serious is going WRONG with this device? I have had two bad staph MRSA infections in the past 1 1/2 years with bad back surgeries, so I am a carrier of staph in the low back area,and I am worried about any infection anywhere in my body, especially in my femoral artery/leg, etc. when should I be worried? and when should I call the doctor? can anyone answer these questions for me? I do not want to spend my time or the doctors , if what I am feeling is normal and will go away in a week or two.. but from reading these letters on this site, I am really worried now.. mary S., Dallas, TX Ladyredjax4453@aol.com
Mary Spears, Dallas, TX USA, June 06, 2005

• Ronnie -- as you've described your situation since your visit, you're right -- it doesn't sound at all like a hematoma which would in fact be a significant discoloration. Not sure what the swelling could be, possibly a sensitivity to the collagen in the AngioSeal which should resolve itself. The electric shock you felt is most likely a nerve. Do you have numbness? That might indicate possible nerve damage; otherwise it was nerve trauma which does get better. Also pain and redness might signify an infection, so it's good you don't have those symptoms.
Angioplasty.Org Staff, Angioplasty.Org, June 3, 2005

• This is Ronnie again. When the DR was putting in the seal I had the feeling that I was being shocked with electric down the inside of leg to knee. Could this swelling be from nerve damage or leaking of fatty tissue. thanks
Ronnie, Flatwoods, ky, June 03, 2005

• This is from Ronnie with the swelling of right leg from heart cath thanks for the info. Saw family Dr 6/2/05 -- he said that the swelling was rare. I saw cardiologist P.A. -- she said to use heating pad, if it gets worse call. I am getting more concerned about this i had the angio-seal once before with no problems, I still do not have any bruising, redness or pain just swelling on the part of leg below the crease; the swelling is not hard just like fatty tissue. If this was bleeding under the skin should it be bruised or some form of discoloration by now. Need more input thanks
Ronnie, Flatwoods KY, June 03, 2005

• Ronnie -- sounds like a hematoma, which is what your doctor said -- blood that has leaked under the skin (a "black-eye" is a form of hematoma). This is something that might go away in time, if minor, but treatment of hematomas is very dependent on size, etc. and determination should be made by a doctor. Your doctor seems to indicate that this is not a problem, yet there may be things you could do. Ask your doctor (and let us know what he says). By the way, you posted to the vascular closure device topic. Did you have one (AngioSeal, Perclose or similar?).
Angioplasty.Org Staff, Angioplasty.Org, June 1, 2005

• I had heart cath on May 12, 2005; went to see doctor on May 22. I have no soreness, redness or tenderness in the puncture site. I do have swelling in the top of the leg like a fatty soft spot. Doctor said could be blood that has leaked under the tissue. Does not seem concerned, but I am. It is now May 31 and the swelling is still there, what do you think i should do?
Ronnie, Flatwoods, KY, May 31, 2005

• Add my complaint to the long list of problems with the collagen plug. My right femoral artery is 90% blocked now, and cannot walk over 100 yards without severe pain in my right leg. Too bad we were not advised of the many problems using this type of a closure device.
David Clark, Enid, OK USA, May 26, 2005

• Dear SDevault -- thanks for your posting. We are quite amazed at the number of complications we are seeing posted in this topic. And your comments add a much-needed balance. There are two million angiographic procedures performed each year in the U.S., and there is a known complication rate for any medical procedure. Moreover, a Discussion Forum like this one becomes a "magnet" for patients reporting their complications. The vast majority of patients are, as you note, being helped and made more comfortable after these procedures by use of the various vascular closure devices. That being said, the extent and effect on the patients' lives of the various complication being reported here is extreme and needs to be publicized and addressed. Perhaps a greater awareness of possible complications is needed -- perhaps if a patient complains of any of the problems listed below, they can be dealt with earlier and more successfully. In any case, I believe that patients should be informed of their choices and be allowed to make them, in this case, for themselves. We're working on a comprehensive article about vascular closure devices and will post the link in this Forum when it's online. If you want to be informed when this happens, I suggest registering with us for our newsletter.
Angioplasty.Org Staff, Angioplasty.Org, May 25, 2005

• I had a Heart Cath on 3-10-05 after having an abnormal ekg. I am 39 yoa and a RN. When I got up to walk i could not walk. They kept me over night stating I had a fistula that would resolve in a couple of days. After returning home for two days, I barely could walk. I had an arteriorgram that reflected a femoral artery occlusion from the perclose. After five hours of surgery a five inch blood clot was removed. Also my saphenous vein was removed to patch my femoral artery. Eleven days later I had a massive hematoma about 12 inches long and eight inches wide and had to have surgery again and a JP drain put in. I was fortunate I did not have to have my leg amputated. I had no pulse in my leg when I went into surgery and it was cool. At the present time almost three months post-op I am still having problems with numbness and pain. I still have some of the hematoma left and my skin is discolored. I am very upset I was never told about the perclose until after the heart cath I know I would have chose the sand bags if given a choice. By the way I had no blockages. I still had sever chest pain up to two weeks post-op. I am now on cardizem and I am very mad. I could develop scar tissue in the future which will again decrease blood flow to my leg! Good Luck Teresa
Teresa, USA, May 24, 2005

• I work in a cardiac catheterization lab where we use the devices to close femoral arteries. We use the device on well over 90% of our patients. Patients for the most part love the device, especially those who had procedures in the days before the use of angioseal and perclose. The old way, someone had to hold pressure for at least 20 minutes to stop the bleeding and then you were on bedrest for at least 6-8 hours following the procedure. Bedrest, I mean totally flat on your back the whole time. For many people that is horrible torture. These devices, like anything, come with minor risks. I have read the package insert and I do insert them. I explain to patients about the use of these devices. For those who think they need to contact a lawyer, for what? No one did anything wrong nor is there a problem with the device. I have seen 2 patients in 2 years need to go to the OR to have a femoral artery opened because of a complete blockage. In our case it was discovered within hours of the cath while the patient was still here. For the comfort and timely manner patients can get in and out of here, I think it is worth the risk. I would let someone use a closure device if I had a procedure. Sorry to those who have had such a difficult time. On the other hand, did you resume normal activity as soon as you got home. One man was driving the next day! How about lifting and using stairs? People take a bad experience and everyone is fueling the fire for each other making it much worse than it really is.
SDevault, Cardiac Catheterization Lab, Massillon, OH United States, May 24, 2005

• I am a 39 year old female, and I had a Cath. procedure in August, 2004 due to supposed massive blockage in the anterior wall of my heart (results from stress test). The cath showed no blockage. Without my knowledge of this devise being used, an Angio-Seal was used to close my artery. I was sent, and returned to work 2 days later. I began having extreme pain in my right leg. I was unable to walk more than 5 feet without having to sit and cry from the burning and numbness. I went to the doctor a week later, and he said it was typical. One week after that I was back at the doctors office with same complaints. He sent me to have an ultrasound for an pseudoanyserism. The ultrasound showed that there was complete blockage to my right artery. No pluse in my right foot. I was immediately scheduled for a prosedure the next morning (to be done by a different doctor). This procedure was to blow out the clot that had formed around the Angio-Seal. Well to say the least, this procedure didn't work. I was admitted to the hospital upon finding a surgeon that could remove the Angio-Seal. Mind you this was Labor day weekend too. In the mean time, I was BLACK from the bottom of my breasts to the top of my knees from the pressure that was applied to my left artery after the procedure. It took four people taking turns ro stop the bleeding. My bladder was severly bruised. I passed nothing but pure blood for 2 days afterward. and, I had an allergic reation to the blood thinner they gave me. I was told not to get out of bed that the clot could break loose. So, I laid there from Friday until Tuesday until they could get a surgeon scheduled. (He was on vacation for the Labor Day weekend). The Angio-Seal was removed and I was sent home the next day with no restrictions. I returned to the doctor and surgeon for follow ups ant told them of my complications. I was told this was normal and it would go away with time. Well, to tell you the least, it has been 8 1/2 months since the Angio-Seal was removed and my life is hell. My right thigh is completely numb from the grion to the knee. My right leg goes numb after just walking to the mail box. I can't sit still for more than 10 - 15 minutes without my legs going completely numb. Walking up stairs or a slight incline is impossible. The burning is too horrific. It has taken me almost 45 minutes to write this entry because of not being able to sit at the computer for long. My advise to anyone getting any heart related porcedures or surgeries, DO NOT allow the Angio-Seal to be used.
Sharon, Shreveport, LA, May 23, 2005

• I had a cardiac catheterization with Perclose closure on March 24, 2005. Immediately following he procedure I was unable to walk because of excrutiating pain in my leg. I was sent home and after 5 days with a cold leg and pain underwent surgery to remove a five inch blood clot which had occluded my iliac and femoral arteries. My surgeon says the occlusion was a direct result of the closure device. I have seen a lawyer who told me that my best course would be to join a class action lawsuit to have the device removed from use.
Carol Linn, Sun City, AZ. USA, May 18, 2005

• Update from Dee, Columbus, OH. My last posting was on March 21, 2005. I would like to update you on the latest. My severe pain turned out to be something after all. It was a totally occluded (blocked) femoral artery after a cardiac catherization two weeks earlier. (I had been in severe pain for two weeks and the doctor's office pretty much blew me off. The only way I found out was my insisting with my cardiologists office that I couldn't be in so much pain without something being wrong). After the femoral artery was unblocked by a vascular surgeon, two weeks later the site became infected. I was put in the hospital for IV antibiotics. On the day I was to be discharged I had a short incident of bleeding from the site. The physicians didn't seem concerned and sent me home. The next morning I woke up covered in blood. Spent several hours in the emergency room before they decided to go in and explore to find out the problem. I was told of the possibilities. Right as they were coming to take me to surgery, my femoral artery blew and disintegrated when the surgeon went in to see what was going on. I had to have a femoral artery bypass. (The doctor told my husband I was lucky I had not bled to death at home). I am fairly young and even though stress tests and EKGs indicated I possibly had heart blockages, I didn't have any. That makes this entire thing even worse. I am still very ill but at least I am home. I have no idea what the future holds because it appears I have nerve damage to this leg as well. All as a result of a "simple" "routine" heart catherization. My advice - ask lots of questions and insist on answers.
Dee, Columbus, OH, May 05, 2005

• I had a angio and one stent placed on April 22 with Angio Seal. I had the procedure on Friday - and drove home Saturday morning. Worked around my shop Sat/Sun - went to work Monday and each day since. I have no real brusing (one about the size of a dime), no pain unless I push on it and am feeling great. Am I about to experience all this stuff you all are talking about??!!
Bud Bulmer, Lakewood, CA USA, April 27, 2005

• My 84 year old mother had an AngioSeal placed in her femoral artery after an angiogram - four days later she was to have a femoral artery bypass - from all indications the groin incision was made in the same place - since the surgery she has experienced severe pain in the knee and front of her leg - does this have anything to do with the angioseal?
Sheena Asconi, Christiansburg, Virginia, April 26, 2005

• I am a very healthy, 56 year old woman who had an angio seal in my femoral artery in November 2002 when a cardiac catheterization was done in the Reading PA hospital and no problems were found as to why I had chest pain. After the angio seal was placed, I had numbness and soreness which I was also told would clear up in 2 weeks and given Tylenol. After 90 days I still felt it was sensitive so the cardiologist checked it and found "no problems". Now, it has been over 2 1/2 years and occassionally I have pressure at the angio seal location and still feel uncomfortable, also I feel gas gets trapped in the area and sometimes it swells slightly. I would never have allowed this procedure had I known. I eat garlic and use herbals and keep exercising and overall I'm very healthy but it does concern me. I am wondering if there are going to be further complications in the future from it?
Suzy Randyl Fry, Grand Junction, CO, U.S.A., April 24, 2005

• [to P. Antrim] Your message on board is old [September 24, 2002] I think but angiogram seals are proven now to be very dangerous causing problems in many people including my mother who is having surgery tomorrow to fix this problem which they say is fixable thank god. Her doctors didn't even conceive this could be the problem until she went to another hospital heart instiutute who found it right away and also told her they don't use these devices anymore because of the problems they have created...her's didn't dissolve and cut off all blood supply to her leg. So, glad you had a great experience but many didn't.
WB, April 18, 2005

• I had a cath last week. It was closed with the Angio-Seal. (I was never asked or told of this device). My concern is I have had 3 stents and balloons put in my left leg over 5 years. Severe peripheral artery disease. The card I was given states plainly that I should not have gotten this. We called the dr. today. He says we are trying to act as drs. He also says that it will all be dissolved in 2 (TWO Weeks!) I replied that this is not what flyer states. He remarked that he had never read it! I am living in fear of an occlusion.
Jane Howard, Bessemer, Alabama, April 18, 2005

• I had a cardiac cath done Jan 2004 and sealed with an Angio-Seal. On arrival home I experienced extreme pain in the right groin area where the procedure was done. Bruising followed and within a couple weeks I was back in the hospital with a deep vein blood clot. To this day I have pain in my right groin area, feels like a big knot when sitting and burning sensation in upper thigh and lesser pain in lower right leg. Right leg has never felt the same after the procedure.
Ken, Perkasie, PA, April 15, 2005

• I had carciac cath 4/11/05 which was closed by Angio seal, without my consent mind you. I was not given a choice but I am all for new advances in medicine. I am 33 yr old female with preliminary diagnosis of Arrythmogenic Right Ventricular Dysplasia. The cath was done only to rule out CAD. I am wondering if it is normal to have pain radiating doen the right thigh to the knee after walking just to the bathroom. Much more pain is noted when ihave to go upstairs to go to bed at night. I work as a CNA, lots of walking, running and heavy lifting. I am scared to go back to work and have this thing fail not to mention the pain is already intense with minimal movement. Anyone have any suggestions or thoughts about what I am feeling? Please tell me this is going to just go away in time. After all it is only 48 hours post cath. Thank you
Laura, Wisconsin, USA, April 13, 2005

• I had a cardiac cath done a year ago this past March. They closed off the site using a collagen plug which I believe they refered to at the time as an angioseal. A week ago I returned to the work force and spend 6+ hours on my feet. Suddenly I am getting an intense burning pain at the site where the catheter was inserted. The pain radiates down into my thigh and also up and around into my hip. The severe burning lasts for about 1-3 minutes and then dispates to just a numbness in the area. I also have a sensation as if my leg were being twisted..and the limb feels very heavy. Has anyone else experienced any of these symptoms so long after what was basically an uncomplicated cath? Incidentally I had no real significant pain at the time the procedure was performed. If anyone has any info.. I would greatly appreciate hearing from you. Thanks a bunch..
Deb, Trenton, New Jersey, USA, April 11, 2005

• I had a cardiac cath closed with closed with angio seal. two weeks later, much pain in groin, legs hurts and feels numb, also developed a painful nodule on side of my leg. has anyone had this happen. i've been told maybe some nerve damage and may need therapy. what recourse do we have?
linda, April 09, 2005

• I am 67 female, 2 months post 2 stents on 2 days, with Angio Seals in both groins. I Have no pain in one groin but the right groin gets dull constant pain for 24 hours after stationay bicyle exercises of only 18 minutes and also hurts if I flex that hip hard eg sitting up from lying. Has anyone had this typ of pain ? Do you think it will go away - at least I can walk OK. April 2005
Liz Richards, Melbourne, Australia, April 07, 2005

• My husband had an angiogram on April 5, 2005 and an angioseal in his right femoral artery. Everything seemed fine until the next morning when he sat in his office chair and instantly felt severe pain in his right groin. We checked the area and found instant bruising and swelling. He applied an ice pack and took tylenol to get through the day but he's still very uncomfortable 12 hours later. After reading all the horror stories, I'm not sure what to expect except that neither one of us will be sleeping well tonight worrying about it. We'll contact his physician in the morning, but any advice would be helpful to avoid what others ahve gone through. The instant, severe bruising and swelling is our concern.
Melody De Leon, , Lakeport CA, April 06, 2005

• I had an ablation done and they used both femoral arteries. i don't know what they used to seal it, but after reading these posts, I'm gonna ask! It's been 1 1/2 yrs and I'm finding that losing weight and walking more, is causing both areas to be more tender as time goes on. I had a massive bleed in the left artery area and was out for 5 weeks and it took 8 months for the bruising to go away. My hemocrit went to 8.2 during the bleed. It was the worst experience of my life and I had mine done at UCLA! I'm thinking of getting an attorney after reading all of your complaints. This is absurd, and seems like too many people from varying backgrounds and ages to all have such major problems. I had no idea it could be so bad. I had numbness in the other leg for nearly 6 mos as well. Thanks for your responses, it answers a lot of questions for me.
CMcGraw, Bakersfield, California, USA, March 29, 2005

• I had an heart cath done 1 week ago. As the Doctor was placing the Angio-Seal I had the most awful pain down my leg and up into my hip. It was the worst pain I have ever felt. Now I have pain in my hip all the time, and some down my leg. I am having a hard time getting around and trying to work. I called the Doctor and was told "It's nothing" well the "nothing" is killing me OTC meds only give slight relief. My pain is mainly in my hip can anyone relate or have any suggestions?
Shannon, Hutchinson, Kansas, USA, March 29, 2005

• Can someone advise me of the success and failure ratio of using the perclose technique to close the femoral artery after a catheter has been inserted in the groin area vs. success and failure of closing the artery using compression technique.
Jim Barlow, Hot Springs, Arkansas, USA, March 28, 2005

• I had a cardiac catherization 10 days ago. I had no pain until I got up after two hours of no movement. The angio-seal was used as the closure device. The very first time I stood up I had excruciating pain from the site down my leg. I was unable to walk more than a few steps. I was told this would be better in a day or two. It is not better. I have had ultrasounds and CT scans of my leg and all appear "normal". The only explanation my physician's office has given is that they could have hit a nerve "or something" and it "will get better eventually". I am unable to walk with the assistance of a crutch and even then the pain is so bad I can only take a few steps at a time. I would appreciate any suggestion or information.
Dee, Columbus, Ohio, USA, March 21, 2005

• Has anyone had any complications from the new Star Closure? This device is made by Abbott Lab and is still being approved by FDA.
Shelley Bush, Coldwater, Michigan, USA, March 15, 2005

• To all of you who have contibuted to this informative site. Thank you. I am a cardiac nurse. As a nurse the stent and angioseal and perclose companies constantly feed us that few, if any complications arise. The complications of bleeding at the site and internally are standard observations and management procedures we are trained to deal with. The trouble with the closure devices is a new area and the big companies pushing their wares tell me that complications are NIL. We have just had an inservice on angioseals with a perclose inservice soon. Your information will be forwarded to all of my collegues in CCU and will assist us in our greater understanding. The Australian Cardiac nurses are currently fighting to continue our specialty and the companies pushing for complication free devices with early mobilisation is a green light to governments and hospital management to decrease CCU's and cardiac nurses jobs as these people buy the sales pitch of these companies. Keep making a noise. I hope you all soon find good health.
Julie S, CCU , Melbourne, Australia, March 13, 2005

• Three days after a cardiac cath the Angio-Seal device was used to close the femoral artery. I followed all directions to the letter. However, on the third day severe pain began in my lower abdormal area. The doctor saw me right away, ordered an emergency CT with contrast. The results show a fluid sack about the size of a dime. The physican tells me it is UNRELATED! Nevertheless, he further instructed me to have blood work done (check RBC) and have the CT done over next week. This site is soo wonderful. Are there other people who have this type pain? By the way the Angiography reported negative for clogs.
R Pointer, Fort Washington, Maryland, USA, February 24, 2005

• Hello I'm a 33 year old female who had a angiogram and perclose procedure in 10/04 it was the most painfull thing I have ever gone through in my life. my groin has hurt since then I get pains into my leg and slightly into my lower abdomen it just makes me cry...I have brought this up to my md a few times and they don't ever say anything about it. I was in the ER for an anaphlatic reaction 2 weeks ago I was coughing from bronchospasm the coughing just about sent me through the roof with groin pain exactly where the sheath had been and the perclose device was. I can't sit for more than 10 minutes or have my leg bent so that my groin has pressure on it or I end up in pain. 2 weeks after the procedure I has us to r/o hematoma or pseudoaneurysm and it was negative. I am also a critical care RN I have a background in this area it is surprising to me Im in soooo much pain. does anyone have any ideas or suggestions????
Dana Young, RN, Yakima, Washington, USA, February 06, 2005

• I had a ANGIO-seal done. STILL HAS severe nerve pain in right foot, leg, numbness. I AM WONDERING WHAT I CAN DO.
Alice, Rembert, South Carolina, Sumter, January 31, 2005

• My 78 year-old father had Angio-seal after a cardiac cath procedure. Three days after leaving the hospital he started with reduced appetite, diarrhea. I took him to the hospital via ambulance. I was told that he developed sepsis and passed away 8 hours later. Was my father's death caused by the Angio-seal or some other factors?
Jacques Pierre, Brooklyn, New York, USA, January 30, 2005

• Thank you so much for this site. I'm a 32 year old male who had a procedure using angio-seal on my right femoral artery, it has been 6 days and I am still in severe pain. I've had very little swelling but extremly large brusing. I had an ultra sound done 2 days ago and was told everything was ok, and to take tylenol for pain, what a joke. I am now experenceing burning pain also in thigh area and low back pain since I haven't walked normally since. Please email with what was done about similiar problems.
Kevin Flynn, Brick, New Jersey, USA, January 26, 2005

• I had an angioplasty done on 12/19/04 and it was sealed with an Angio-Seal. I had a hemorage at the site and could hardly walk, get up and down and couldn't even roll over without severe pain for 2 weeks. I am still having problems but now they are pain in my groin area and severe pain in my right thigh from my groin to about 8 inches into my thigh. I feel as if something is going to burst within it. I have been back to the doctors who tell me that it's not from this procedure. However I had NO problems with my leg or groin area, in fact when they did the Angioplasty they found that my stress test showed a false positive for a blockage. So now I am having all these problems it seems for nothing and no one wants to acknowledge that I am even having problems, the doctor keeps telling me that if it is anything it will go away. My life is on hold because I can not even seem to function throughout the day without getting back in bed to lay my leg straight out to relieve some pressure. Anyone else have or heard of a problem such as this? I do not know what to do other than consult another physcian. Any information would be appreciated. Please write to cindiann0039@aol.com
Cindi Payne, Columbus, Ohio, USA, January 23, 2005

• Had an angiogram on 1/12/05 very tolerable with a small amount of vallium injected in my IV a little soreness today 1/13 but would have to say the most painful thing is removing the bandage which they literally glue on.
Michael Ross, Placentia Ca , January 13, 2005

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