Femoral artery stenosis following percutaneous closure using a starclose closure device.
Starclose (Abbott Vascular Devices, Redwood City, CA) is a new arterial closure device that seals a femoral puncture site with an extravascular star-shaped nitinol clip. The clip projects small tines into the arterial wall which fold inward, causing the arterial wall to pucker, producing a purse-string-like seal closing the puncture site. The case history is that of a 76-year-old female patient who underwent day-case percutaneous diagnostic coronary angiography. A Starclose femoral artery closure device was used to achieve hemostasis with subsequent femoral artery stenosis.
Bent
Clare Louise
CL
Department of Diagnostic Imaging, Barts and The London NHS Trust, Whitechapel, London, E1 1BB, UK. clare.bent@bartsandthelondon.nhs.uk
Kyriakides
Constantinos
C
Matson
Matthew
M
D000368:Aged; D000497:Alloys; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography / Q000009:adverse effects* / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D004868:Equipment Failure; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D011677:Punctures / Q000009:adverse effects / Q000379:methods; D018570:Risk Assessment; D013525:Surgical Instruments / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed / Q000379:methods; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods
D000497:Alloys; C013616:nitinol