Evidence to practice: use of Angio-Seal following PCI

Abstract

An increasing number of PCIs are being performed worldwide. Most procedures are carried out via the radial artery; however, femoral access is still preferred in some instances, and is associated with an increased risk of complications. Since the 1990s, vascular closure devices (VCDs), such as Angio-Seal™, have largely replaced manual compression as a method to achieve haemostasis—yet the evidence supporting their use remains uncertain. The current article uses a case-study approach to examine the evidence supporting the use of Angio-Seal, and the nursing care required post procedure. Moderately strong evidence supports the use of VCDs, but small sample size, bias and heterogeneity are limitations of the studies. There is also a lack of standardised cost analysis, and little consensus regarding the length of bed rest required post procedure. No research was found assessing the optimal frequency of patient observations.