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2014 ; 20
(5
): 426-31
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Exoseal for puncture site closure after antegrade procedures in peripheral
arterial disease patients
#MMPMID25010369
Hackl G
; Gary T
; Belaj K
; Hafner F
; Rief P
; Deutschmann H
; Brodmann M
Diagn Interv Radiol
2014[Sep]; 20
(5
): 426-31
PMID25010369
show ga
PURPOSE: Exoseal is a vascular clo-sure device consisting of a plug applier and a
bio-absorbent polyglycolic acid plug available in sizes 5 F, 6 F, and 7 F. In
this study, we aimed to evaluate the effectiveness and safety of the Exoseal
vascular closure device (Cordis Corporation, Bridgewater, New Jersey, USA) for
puncture site closure after antegrade endovascular procedures in peripheral
arterial occlusive disease (PAOD) patients. MATERIALS AND METHODS: In this
retrospective study, a total of 168 consecutive patients who underwent an
interventional procedure due to PAOD, were included. In each case, an antegrade
peripheral endovascular procedure was performed via the common femoral artery
using the Seldinger technique, and Exoseal 5 F, 6 F, or 7 F was used for access
site closure. The primary endpoint was a technically successful application of
Exoseal. All complications at the access site within 24 hours were registered as
a secondary endpoint. RESULTS: In a group of 168 patients (64.9% men, average age
71.9±11.9 years), the technical application of Exoseal was successful in 166
patients (98.8%). Within the first 24 hours after the procedure, 12 complications
(7.2%) were recorded including, three pseudoaneurysms (1.8%) and nine hematomas
(5.4%). None of the complications required surgical intervention. CONCLUSION:
Exoseal is a safe and effective device with high technical success and acceptable
complication rates for access site closure after antegrade peripheral
endovascular procedures.