Indications, warnings and precautions with Angio-Seal insertion [5,10]
Indication Precaution
Diagnostic angiogram On warfarin
Percutaneus intervention If undergoing thrombolysis
Femoral arterial access If punctured through vascular graft
8 French or smaller for 8F sheath Uncontrolled hypertension (> 180 mm of Hg)
6 French or smaller for 6F sheath Pre-existing auto-immune disorders
Warning: not for use if Small femoral artery (< 4mm diameter)
Superficial femoral artery (SFA) or Profunda Femoris Artery (PFA) insertion Pregnancy or lactation
Inserted above the inguinal ligament Allergic to beef, collagen, polyglycolic or polylactic acid products
Posterior wall puncture Anaemia (Hb: < 10 mg/dl) Or platelet < 100,000
Inserted at or distal to PFA, SFA bifurcation Bleeding disorders including throbasthenia, von WilleBrand’s disease
Contra-indication: none mentioned
Table 1: