title: Femoral artery stenosis following percutaneous closure using a starclose closure device.
abstract: 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.
authors.affiliation: Department of Diagnostic Imaging, Barts and The London NHS Trust, Whitechapel, London, E1 1BB, UK. clare.bent@bartsandthelondon.nhs.uk
authors.forename: Clare Louise
authors.initials: CL
authors.lastname: Bent
authors.forename: Constantinos
authors.initials: C
authors.lastname: Kyriakides
authors.forename: Matthew
authors.initials: M
authors.lastname: Matson
mesh_terms: 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
chemical_list: D000497:Alloys; C013616:nitinol