title: Posterior wall capture and resultant common femoral occlusion complicating StarClose access closure.
abstract: Vascular closure devices have been shown to decrease hemostasis and ambulation time after percutaneous transcatheter procedures. The StarClose Vascular Closure System (Abbott Vascular, Redwood City, Calif) is a shape memory clip-mediated device that is designed to provide extraluminal mechanical closure without compromising the arterial lumen. We report a case of iatrogenic arterial occlusion secondary to mechanical closure of the anterior and posterior walls of the common femoral artery with a StarClose device. We provide objective observations from the rescue surgical intervention and discuss potential mechanisms of device failure.
authors.affiliation: West Virginia University School of Medicine, Charleston Division, Charleston, WV, USA. pstoneo627@yahoo.com
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Stone
authors.forename: John E
authors.initials: JE
authors.lastname: Campbell
authors.forename: Karinna H
authors.initials: KH
authors.lastname: Andrews
authors.forename: Mark C
authors.initials: MC
authors.lastname: Bates
mesh_terms: D000792:Angiography / Q000379:methods; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000379:methods; D023921:Coronary Stenosis / Q000175:diagnosis / Q000628:therapy; D020878:Device Removal; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000628:therapy; D018570:Risk Assessment; D018608:Ultrasonography, Doppler