Iatrogenic limb ischemia caused by angiography closure devices.
Described are 2 cases of lower limb ischemia that resulted after deployment of 2 different arterial closure devices. One patient presented acutely with lower limb ischemia after an Angio-Seal (St Jude Medical, Minnetonka, Minn) device deployed at the conclusion of cerebral artery aneurysm embolization. The second patient, who underwent angioplasty for aortic recoarctation, presented with claudication 1 week after deployment of the Perclose (Perclose, Redwood City, Calif) device. The use of such devices can result in significant complications, and cardiologists, interventional radiologists, and vascular surgeons are advised to have a high index of suspicion for such complications and work in close conjunction to provide prompt and adequate treatment.
Derham
Chris
C
Leeds Vascular Institute, Leeds General Infirmary, Great George Street, Leeds, United Kingdom. cderham@doctors.org.uk
Davies
John F
JF
Shahbazi
Raashid
R
Homer-Vanniasinkam
Shervanthi
S
D000328:Adult; D000368:Aged; D017130:Angioplasty; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D020878:Device Removal; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007049:Iatrogenic Disease; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000209:etiology*; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D011859:Radiography; D014463:Ultrasonography