Angio seal Side effects, Procedure, Deployment, Aftercare | Angioseal vs Perclose

Content:

• What is Angio seal?
• Angio seal Side effects
• Angio seal Procedure
• Angio seal Deployment
• Angio seal Aftercare 
• Angioseal vs Perclose

What is Angio seal?

Angio-Seal is a vascular closure device used in interventional cardiology and radiology procedures to achieve hemostasis (stop bleeding) at the site where a catheter was inserted into an artery. It is commonly used following procedures such as cardiac catheterization, angiography, and angioplasty. The Angio-Seal device consists of a bioabsorbable anchor, a collagen sponge, and a suture. After the catheterization procedure is complete, the Angio-Seal device is inserted into the artery over a guide wire. 

Once positioned at the puncture site, the device is deployed, with the anchor securing it in place against the arterial wall and the collagen sponge expanding to create a seal. Over time, the device dissolves, leaving behind a sealed puncture site. Angio-Seal helps to minimize the risk of bleeding and hematoma formation, reduces patient discomfort, and allows for faster ambulation and discharge after the procedure.

Angio seal Side effects

As with any medical procedure or device, the Angio-Seal carries potential side effects that patients and healthcare providers should be aware of. Common side effects associated with the use of Angio-Seal may include:

Pain or Discomfort: Patients may experience mild pain or discomfort at the insertion site following deployment of the Angio-Seal device. This discomfort typically resolves within a few days and can be managed with over-the-counter pain medications.

Bruising or Hematoma: Bruising or hematoma formation at the puncture site is a common side effect of Angio-Seal deployment. While usually minor, significant bruising or hematoma may require medical attention.

Infection: Although rare, there is a risk of infection at the puncture site following Angio-Seal deployment. Patients should be instructed to monitor for signs of infection, such as redness, swelling, warmth, or drainage, and seek medical attention if present.

Allergic Reaction: In some cases, patients may experience an allergic reaction to the materials used in the Angio-Seal device, such as collagen or synthetic components. Symptoms of an allergic reaction may include itching, rash, or difficulty breathing and should prompt immediate medical evaluation.

Angio seal Procedure

The Angio-Seal procedure is performed following arterial catheterization, typically in the femoral artery, to achieve hemostasis and seal the puncture site. The procedure involves several key steps:

Insertion: After completion of the interventional procedure, the Angio-Seal device is inserted into the femoral artery over a guide wire.

Deployment: Once positioned at the puncture site, the Angio-Seal device is deployed, consisting of a bioabsorbable anchor, collagen sponge, and suture.

Sealing: The collagen sponge expands to form a seal against the arterial wall, while the anchor and suture secure the device in place.

Removal: After a specified period, typically several hours to a day, the Angio-Seal device dissolves, leaving behind a sealed puncture site.

Angio seal Deployment

Angio-Seal deployment requires precision and expertise to ensure effective hemostasis and minimize complications. Healthcare providers must be proficient in the deployment technique, including proper positioning, sizing, and deployment of the device.

Angio seal Aftercare 

Following Angio-Seal deployment, patients require diligent monitoring and appropriate aftercare to promote healing and minimize complications. Key aspects of Angio-Seal aftercare may include:

Bed Rest: Patients may be instructed to remain on bed rest for a specified period following Angio-Seal deployment to minimize movement and reduce the risk of bleeding or device dislodgement.

Compression: Compression bandages or devices may be applied to the puncture site to promote hemostasis and minimize bruising or hematoma formation.

Activity Restrictions: Patients may be advised to avoid strenuous activity or heavy lifting for a specified period following Angio-Seal deployment to prevent disruption of the puncture site.

Monitoring: Patients should be closely monitored for signs of bleeding, infection, or allergic reaction following Angio-Seal deployment and instructed to seek medical attention if symptoms arise.

Angioseal vs Perclose

Angio-Seal and Perclose are both vascular closure devices used to achieve hemostasis following arterial catheterization procedures. While both devices are effective, they differ in their mechanism of action, deployment technique, and potential complications.

Angio-Seal: Angio-Seal achieves hemostasis by deploying a bioabsorbable anchor, collagen sponge, and suture to seal the puncture site. It is known for its ease of use and rapid deployment but carries a risk of side effects such as pain, bruising, and infection.

Perclose: Perclose achieves hemostasis by utilizing a suture-based mechanism to close the arteriotomy. It offers the advantage of direct suture closure but requires specialized training and expertise for deployment.