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 |