Claudication secondary to Perclose use after percutaneous procedures.
The use of suture-mediated arterial closure devices has dramatically increased with the increased number of percutaneous procedures being performed. Complications from suture-mediated closure devices have been underreported. Specifically, arterial stenosis resulting in claudication has not been previously described in detail. We present nine patients who presented with various leg symptoms after Perclose was used to achieve arterial hemostasis following percutaneous procedures. All cases were found to have significant arterial stenoses from the Perclose sutures. Once diagnosis was correctly made, the patients either underwent surgical repair or percutaneous balloon angioplasty and in all cases the symptoms abated.
Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josée and Henry R. Kravis Center for Cardiovascular Health, Mount Sinai School of Medicine, New York, New York 10029, USA.
James J
JJ
Jang
Michael
M
Kim
Bruce
B
Gray
J Michael
JM
Bacharach
Jeffrey W
JW
Olin
D000328:Adult; D000368:Aged; D000792:Angiography; D002406:Catheterization, Peripheral; D023921:Coronary Stenosis / Q000628:therapy*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D015607:Stents; D013536:Suture Techniques / Q000009:adverse effects* / Q000295:instrumentation; D018608:Ultrasonography, Doppler