title: Acute limb ischemia after femoral arterial closure with a vascular sealing device: successful endovascular treatment.
abstract: We report on successful catheter therapy of acute occlusions of popliteal and crural arteries due to distal embolization from a vascular sealing device. A 45 years-old male patient underwent percutaneous coronary angiography. After primary successful closure of the right femoral artery by a sealing device the patient developed acute ipsilateral lower limb ischemia, most probably due to embolization of a collagen/thrombin plug. Occlusions of the popliteal and crural vessels were successfully treated by percutaneous thrombectomy, thrombolysis and ballon angioplasty. Combined percutaneous catheter therapy is a therapeutic option for occlusions of popliteal and crural vessels due to embolization from a vascular sealing device.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Medizinische Poliklinik Innenstadt, University Hospital, Munich, Germany.
authors.forename: T M
authors.initials: TM
authors.lastname: Schiele
authors.forename: A
authors.initials: A
authors.lastname: Rademacher
authors.forename: O
authors.initials: O
authors.lastname: Meissner
authors.forename: V
authors.initials: V
authors.lastname: Klauss
authors.forename: U
authors.initials: U
authors.lastname: Hoffmann
mesh_terms: D000800:Angioplasty, Balloon / Q000379:methods*; D005263:Femoral Artery / Q000187:drug effects* / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery*; D007866:Leg / Q000098:blood supply / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery*; D014014:Tissue Adhesives / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D014014:Tissue Adhesives