Collagen plug s/p cath?

moonshadeau, ADN, BSN, MSN, RN, APN, NP, CNS · Feb 10, 2002

It is called an ANGIOSEAL. On my unit, brought up post cath, the tension wire is cut at bedside releasing the collagen plug into place. A tegaderm is placed over the site. No you don't need a pressure dressing for this one. Bedrest is about 4 hours usually. Patients like it much better. However, the disadvantage is that if a person needs to be recathed for whatever reason the opposite groin site must be used as the cath won't be able to penatrate the plug.

Zee_RN, BSN, RN · Feb 11, 2002

Thank you!

sloddesol · Feb 17, 2002

there are 3 companies implementing collagen plugs post cath in our facility we 're using angioseal by Daig there is also vasoseal by datascope and device by Duett thats a liquid collagen/thrombin and there is also the Preclose PVS system which is a catheter based suture deployment system

Scott

CC NRSE · Feb 17, 2002

i have used angioseals, vasoseals, and perclose. haven't had very good luck with the collagen plugs. seems they still have a "small leak" (venous) and some pressure still has to be held to site (depending on how much heparin, plavix and reapro they've gotten). my experience with the perclose has been pretty good. they are usually totally off bedrest within one hour!!!! :eek: i still keep a close eye on the site. i have had those leak too. i guess anything beats holding manuel pressure for 20,..30,..40 min only to keep reminding the patient to keep their leg straight for 8 hrs post sheath removal!!!

kimberle · Feb 17, 2002

CC Nurse- just question...I don't want to sound stupid, but what does holding the leg straight for 8 hrs. post sheath removal do? Keep it clotted?

CC NRSE · Feb 19, 2002

well,...you hold pressure till it clots and stops bleeding,...if the patient bends their leg,...they risk bleeding and large hematoma or even worse,... retro periteneal bleeding. that could be really bad..... :eek:

so yeah, basically,.....it keeps it clotted!! :)