Arterial Closure Device Criteria

[scoobyjules1234]

I'm relatively new to the Cath Lab and was wondering if anyone could explain the criteria for closure devices. I'm not sure what I should be looking for when the cardiologist is performing the femoral angiogram to check for closure. At our institution, we will commonly use Angioseal and Proglide. Thanks!

[Skip219, BSN, RN]

Arterial closure device usage varies from cardiologists and institutions. Old school cardiologists don't like to use them for the most part. Some of its dependent on the patient's anatomy. Internal closure devices like perclose and angioseal are appropriate except if the arterotomy is at bifurcation. Mynx is a extravascular device which can be used close to bifurcation sites and sometimes diseased femerol arteries. Pt with bad backs or compromised respiratory issues are good candidates for closure devices. One disadvantage of these devices are added cost to the procedure, and tenderness the site. Otherwise, these devices lead to earlier ambulation, discharge, and increased pt satisfaction. Hope this helps,

Skip