Comments about the Terumo Angio-Seal | Which Medical Device
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Interventional Radiology
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Vascular
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Closure devices
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Comments
Comment by IRtrainee Commented Jan 26, 2019
Impact factor: 142
User Rating
Widely used and generally reliable closure device. May be more likely to work for deep punctures than starclose as the tissues do need to be split for the device to get down onto the vessel wall.
My only reservation is that it is quite fiddly and involves a number of steps. This means the beginner can be caught out (eg deploying the footplate outside the vessel or failing to adequately tamp down the collagen plug). I had to watch an instructional video and do 3-4 deployments under close supervision before I got the hang of it.
Comment by phil Commented Dec 23, 2015
Impact factor: 5138
User Rating
A great tip in the tips section added by rsathyanarayana regarding US use to avoid lifting plaque. This could also be a problem with the starclose device.
Comment by domfay Commented Jan 25, 2012
Impact factor: 76
User Rating
Recently come back to using Angioseal and remain impressed by its simplicity of deployment and effectiveness. The long history of the device is also reassuring. There are two versions, the VIP and the Evolution (pictured). The Evolution is a more automated delivery system but hardly necessary given how simple the (cheaper) VIP is to use. The sheath is quite soft and can kink in certain situations (eg steep antegrade punctures in obese patients) preventing the device from passing.
Comment by RWJHarries Commented Apr 29, 2008
Impact factor: 4
User Rating
I have been using the Angioseal, through its various stages of development, for about 6 years and will continue to use it for the foreseeable future. It is easy to use, quick and effective. I have had very few complications: about 1% have failed to deploy correctly and have required the application of alternative haemostatis (usually a femostop). A similar number have deployed incorrectly and caused acute arterial obstruction requiring surgical intervention. The huge advantage to us is that patients can be ambulated quickly and discharged the same day in the vast majority of cases. In addition, patients who have been on anticoagulation can have interventional procedures carried out without worrying about haemostasis. The surgeons occasionally comment that the device makes their work a little harder if they have to open a vessel with an angioseal in place.