Use of a thrombin-gelatin matrix for hemostasis after failed device closure of femoral arterial access

摘要

Access and closure continue to be a source of complications for all arterial endovascular procedures. Despite significant developments made in vascular closure devices (VCD), failure to achieve hemostasis in a small proportion of cases leads to continued bleeding, necessitating prolonged compression or surgical repair for larger punctures. We report on the use of a thrombin-gelatin matrix (Floseal, Baxter, Hayward, CA) to achieve hemostasis in two patients, in whom device closure failed to control arterial bleeding after femoral arterial access.