Emergency autologous vein graft reconstruction after vascular closure device usage and subsequent infection.

Autor:	Chio JCT; Tulane University School of Medicine, New Orleans, Louisiana, USA., Gordon L; Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada., Roche-Nagle G; Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada graham.roche-nagle@uhn.ca.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2024 Nov 02; Vol. 17 (11). Date of Electronic Publication: 2024 Nov 02.
DOI:	10.1136/bcr-2024-260126
Abstrakt:	Different techniques and devices can achieve haemostasis after endovascular procedures to reduce time to haemostasis and facilitate percutaneous large-bore access. One such device is the Angio-Seal, which accomplishes haemostasis by compressing a collagen plug against the arteriotomy. Multiple complications related to Angio-Seal exist, most commonly acute artery occlusions and rarely infections and endarteritis. We present a case of an adult male (aged 80-85) who developed a groin haematoma associated with Angio-Seal use. Arterial bypass for arterial reconstruction and intravenous antibiotics were required. This case addresses the associated pathologies of Angio-Seal failure and Angio-Seal infection, patient- and device-specific risk factors and measures to treat and prevent these complications (ANGIO-SEAL VIP Vascular Closure Device-6 Fr Terumo Medical, NJ, USA). Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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