Acute lower limb ischemia caused by repeat deployment of vascular closure device.
| Autor: | Topcu AC; Department of Cardiovascular Surgery, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey., Buz M; Department of Thoracic Surgery, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey., Geyik FD; Department of Anesthesiology and Reanimation, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey. |
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| Jazyk: | angličtina |
| Zdroj: | The journal of vascular access [J Vasc Access] 2024 Sep 30, pp. 11297298241287807. Date of Electronic Publication: 2024 Sep 30. |
| DOI: | 10.1177/11297298241287807 |
| Abstrakt: | Vascular closure devices are used to facilitate faster hemostasis and earlier ambulation, improve patient comfort, and reduce length of hospital stay after percutaneous endovascular procedures. However, their use may rarely be associated with limb ischemia due to endothelial damage and arterial thrombosis. This report illustrates the case of a patient who experienced acute lower limb ischemia due to superficial femoral artery occlusion caused by repeat closure with Angio-Seal vascular closure device within 30 days in a small-caliber superficial femoral artery. The patient was surgically treated by vascular repair with a synthetic graft, and remains symptom-free in 3-year follow-up. Repeat deployment of vascular closure devices in the same access site within a period of 30 days may cause acute limb ischemia due to arterial thrombosis, especially in patients with small-caliber arteries, even in the absence of evident risk factors. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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