ANGIO-SEAL™ VIP Vascular Closure Device

The following information are suggested guidelines, and should not be a substitute for physician’s orders.

Patients who have undergone diagnostic angiography and have received a 6Fr ANGIO-SEAL Vascular Closure Device can safely and effectively ambulate in less than 20 minutes and be discharged one hour post ambulation¹.

Patients receiving ANGIO-SEAL Vascular Closure Device following an interventional procedure using a 6F procedural sheath can be ambulated in approximately 1 hour².

For patients who have undergone an interventional procedure using sheaths greater than 6F, post-procedure ambulation is at the discretion of the physician.

Activity and Ambulation

• The head of the bed may be elevated 15–45 degrees to increase patient comfort^3-6.
• Have patient support the puncture site when coughing, sneezing or straining.
• Patient may ambulate and be discharged per physician's orders.

Discharge Information
Review the patient care instructions with the patient. The following guidelines are recommended:

• Patients may feel a "pea size" lump and/or mild tenderness in the groin.
• Patients should avoid driving the day of discharge.
• Patients may take a shower.
• Patients should avoid baths, hot tub use or swimming until the puncture site is healed.
• For 48–72 hours, patients should refrain from lifting anything over ten pounds.
• Dressing change - the day after discharge, remove the dressing and gently clean the site with mild soap and water. Gently dry the site and cover with a bandage. Change dressing daily until the skin heals.
• Provide the ANGIO-SEAL Device Patient Guide and Information Card to the patient or family.
• Instruct the patient to carry the Patient Information Card for 90 days. After this time, the ANGIO-SEAL Vascular Closure Device components are absorbed⁷.
• Instruct patient to contact their physician who performed the procedure if the following symptoms occur:
  • Fever
  • Bleeding
  • Wound drainage
  • Rash
  • Persistent tenderness in the groin or swelling
  • Redness and/or warm to the touch
  • Numbness or pain in the extremity when ambulating

This nursing care guide is for health care professionals caring for patients that have received the ANGIO-SEAL Vascular Closure Device following an angiographic or interventional procedure. Please follow hospital accepted protocols for patient care. This guide is not a substitute for physician orders.

Patient Assessment Post Procedure

• Check femoral puncture site. Visualize the site and palpate as required to assess for:
  • Bleeding
  • Bruising/Hematoma
  • Swelling
• Assess presence and quality of distal pulses as compared to pre-procedure status. Use accepted hospital protocol for grading pulses.
• Inspect lower extremity for:
  • Color
  • Temperature
  • Sensation
• Check vital signs per hospital protocol.
• Keep puncture site clean and dry.

If Bleeding Occurs

Please follow hospital accepted protocols for patient care.  
This guide is not a substitute for physician orders.

Oozing - The procedure sheath has created a tissue tract to the artery and it may fill with blood and saturate the dressings.
Nursing Intervention

• Apply light manual pressure to the puncture site for approximately 2-3 minutes. Assess the source and intensity of bleeding along with the condition of the site (hematoma, bruising, etc.).
• Once hemostasis is assured, apply a sterile dressing using hospital accepted protocol. 

Active Bleeding - This may present with pulsatile flow or enlarging hematoma.
Nursing Intervention

• Apply manual pressure using hospital accepted protocol.
• If head of bed is elevated, lower the head of the bed.
• Monitor vital signs.
• Once hemostasis is assured, apply a sterile dressing using hospital accepted protocol.
• Notify the physician of any change in the patient's status.