peripheral angioplasty with vascular closure device (vcd)
A vascular closure device is usually a piece of collagen (a fibrous protein found in skin, bone and connective tissue), metallic clip or suture (stitch) designed to provide immediate sealing of the small puncture made in an artery after an angiogram.
Angiography is the imaging of blood vessels that appear on live X-ray images or pictures. This helps show abnormalities or to guide the treatment of disease. Arterial access is commonly carried out through the femoral artery, which is a large artery running past the region of the groin. Access through this artery involves a specialist doctor puncturing the artery with a small needle through the skin and inserting a plastic sheath or tube into the artery through the puncture site.
Once the angiographic procedure is complete, the plastic sheath providing access to the femoral artery will need to be removed. This will leave behind a small hole in the artery, corresponding to the size of the plastic sheath. The hole will continue to bleed, unless treated. Stopping the flow of blood from this hole is normally achieved by manual compression with the doctor’s or nurse’s fingers placed directly over the site of the hole in the artery.
Manual compression is usually very effective, but can take 10–15 minutes or longer, depending on the size of the plastic sheath placed in the artery. Manual compression requires patients to lie flat in bed with the hips in a straight position for at least 4 hours after the plastic sheath is removed.
Vascular closure devices provide an alternative to manual compression. These devices provide immediate sealing of the femoral artery access site, so there is no need for prolonged compression.
What indicates arterial closure device failure?
A pseudoaneurysm occurs when the arterial puncture site does not adequately seal and can follow manual compression or use of a vascular closure device
What is a star closure device?
The Starclose device is a nitinol clip marketed by Abbott Vascular that closes the arteriotomy in a circumferential manner much like a purse-string suture. The safety profile for re-access through the clip has not been studied in a clinical trial
How long does it take for an angio seal to dissolve?
How long is Angio-Seal left in place? Your body will absorb Angio-Seal within 90 days. Your healthcare provider may need to do a Doppler ultrasound to check if it has been absorbed
What is PTCA With VCD?
Percutaneous transluminal coronary angioplasty (PTCA) is a minimally invasive procedure to open up blocked coronary arteries, allowing blood to circulate unobstructed to the heart muscle. … Next, a long narrow tube called a diagnostic catheter is advanced through the introducer over the guide wire, into the blood vessel.
What is StarClose?
StarClose SE Vascular Closure System Enables Fast, Secure Femoral Closure. The StarClose SE Vascular Closure System is a next-generation vessel closure device engineered to enable fast and secure closure of the femoral artery access site following a catheterization procedure.
What is a perclose?
2.0. DEVICE DESCRIPTION. The Perclose ProGlide Suture-Mediated Closure (SMC) System is designed to deliver a single monofilament polypropylene suture to close femoral vessel puncture sites following diagnostic or interventional catheterization procedures
What is an Angio Seal vascular closure device?
The Angio-Seal Vascular Closure Device product family, including the STS Plus, VIP and Evolution platforms, is indicated for use in closing and reducing time to hemostasis of the femoral arterial puncture site in patients who have undergone diagnostic angiography procedures or interventional procedures using an 8 …
How long does it take to heal from an angiogram?
In general, you may return to work 3 days after an angiogram, and after 1 week following a straightforward angioplasty. If you have had a heart attack then you will likely need 4-6 weeks off work.
Is it painful to have an angiogram?
During the Angiogram You will lie on a table, awake but mildly sedated. A local anesthetic will be applied to numb an area on your upper leg or on your arm or wrist. This initial needle prick will probably be the only pain you will feel throughout the procedure.
Is PTCA the same as PCI?
Percutaneous transluminal coronary angioplasty (PTCA) also called percutaneous coronary intervention (PCI) is a minimally invasive procedure to open blocked or stenosed coronary arteries allowing unobstructed blood flow to the myocardium. … PTCA is a hallmark procedure and basis of many other intracoronary interventions
