title: Management of infected femoral closure devices.
abstract: An increase in infectious complications has been noted with the introduction of percutaneous femoral artery closure devices. We report five cases of infected groins and/or femoral arteries following angiographic procedures that were completed using the Perclose Suture Mediated Closure Device (Perclose). Each patient required drainage of the abscess and removal of the Perclose suture. Most patients required more extensive vascular reconstructive procedures. When these complications arise, we recommend expeditious drainage of the abscess, removal of the suture, and adequate exposure of the femoral artery to facilitate repair of the vessel.
authors.affiliation: Rochester General Hospital Department of Vascular Surgery, 1445 Portland Avenue, Rochester, NY 14621, USA. kevin.geary@viahealth.org
authors.forename: Kevin
authors.initials: K
authors.lastname: Geary
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Landers
authors.forename: William
authors.initials: W
authors.lastname: Fiore
authors.forename: Patrick
authors.initials: P
authors.lastname: Riggs
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D004868:Equipment Failure; D005260:Female; D005263:Femoral Artery / Q000382:microbiology / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000209:etiology / Q000628:therapy; D013530:Surgical Wound Infection / Q000209:etiology* / Q000628:therapy; D013537:Sutures