Hematoma after percutaneous transpopliteal stenting and remote suturing of the popliteal artery.
OBJECTIVE
To present a case of extensive thigh hematoma that developed after use of a percutaneous suturing device for retrograde popliteal artery puncture.


METHODS
A 55-year-old woman underwent endovascular treatment for a short occlusion of the right superficial femoral artery via a retrograde popliteal approach, after which the puncture site was closed with a Closer suture-mediated device. Several hours later, massive hematoma of the right thigh developed, which was noticed only after the patient's leg became markedly swollen and hypotension developed.


CONCLUSIONS
The use of a suture-mediated closure device for a retrograde popliteal artery puncture may not be recommended.
Yilmaz
Saim
S
Department of Radiology, Akdeniz University School of Medicine, Arapsuyu, Antalya, Turkey. saim@med.akdeniz.edu.tr
Sindel
Timur
T
Erdoğan
Abdullah
A
Mete
Atalay
A
Lüleci
Ersin
E
D015901:Angiography, Digital Subtraction; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D015607:Stents / Q000009:adverse effects*; D013536:Suture Techniques / Q000009:adverse effects*