Lower limb ischemic complications after the use of arterial puncture closure devices.
We report three cases of lower limb ischemia occurring after the use of arterial puncture closure devices (APCDs). In two patients, who have undergone percutaneous angioplasty of lower limb arteries, the Angio-Seal APCD led to thrombosis of the common femoral artery. In another patient who has undergone coronary angiography, this device has led to dissection of the common femoral artery. Since these observations seem to not be merely sporadic, radiologists and cardiologists as well as vascular surgeons should be aware of their possible occurrence in order to avoid these complications and to provide promptly an adequate treatment.
Biancari
F
F
Division of Cardio-thoracic and Vascular Surgery, Department of Surgery, Oulu University Hospital, Oulu, Finland. faustobiancari@yahoo.it
Ylönen
K
K
Mosorin
M
M
Lepojärvi
M
M
Juvonen
T
T
D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects; D001158:Arteries / Q000293:injuries; D006328:Cardiac Catheterization / Q000009:adverse effects; D020878:Device Removal; D004691:Endarterectomy; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control; D006489:Hemostatic Techniques / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011677:Punctures; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery