Van Den Broek T, Liqui Lung P F, Suttorp M J, Eefting F D, Schipper M E I, Vink A
Department of Surgery, Rivierenland Hospital, Tiel, The Netherlands.
Minerva Cardioangiol. 2007 Dec;55(6):815-9.
Although early vascular complications of the Angio-Seal closure device have been well described, little is known about late vascular complications due to this device. The aim of this paper is to discuss late femoral stenosis associated with the use of the Angio-Seal closure device. A literature search was performed using Medline', Embase' and The Cochrane Library' to identify relevant articles published up to the first of May 2007. Late occlusion was defined as an occlusion after approximately one week after Angio-Seal deployment. All together, eleven relevant papers were available. The reported prevalence of late vascular stenosis associated with Angio-Seal use varies between 1/961 and 4/175. Claudication was the most frequently reported complaint. In most cases, late stenosis due to the use of the Angio-Seal required surgery. Vascular obstruction due to the device has been reported up to 6 months after placement. In conclusion, vascular stenosis due to the use an Angio-Seal closure device is a complication that not only occurs in the first few days after placement, but also in the following months. In every patient developing complaints of arterial insufficiency after using an Angio-Seal, local arterial stenosis due to the device should be considered in the differential diagnosis. It therefore is important to register the use of the device in the patient chart.
尽管血管封堵器（Angio-Seal）早期的血管并发症已有详尽描述，但对于该装置所致的晚期血管并发症却知之甚少。本文旨在探讨与使用血管封堵器（Angio-Seal）相关的晚期股动脉狭窄。通过检索医学文献数据库（Medline）、荷兰医学文摘数据库（Embase）和考克兰图书馆（The Cochrane Library），以识别截至2007年5月1日发表的相关文章。晚期封堵被定义为在血管封堵器（Angio-Seal）植入后约一周出现的封堵。总共获得了11篇相关论文。报道的与使用血管封堵器（Angio-Seal）相关的晚期血管狭窄发生率在1/961至4/175之间。间歇性跛行是最常报告的症状。在大多数情况下，因使用血管封堵器（Angio-Seal）导致的晚期狭窄需要手术治疗。该装置导致的血管阻塞在植入后长达6个月时仍有报道。总之，因使用血管封堵器（Angio-Seal）导致的血管狭窄是一种不仅发生在植入后头几天，而且在随后几个月也会出现的并发症。对于每一位在使用血管封堵器（Angio-Seal）后出现动脉供血不足症状的患者，在鉴别诊断中都应考虑该装置导致的局部动脉狭窄。因此，在患者病历中记录该装置的使用情况很重要。
