title: Entrapment of the StarClose Vascular Closure System after attempted common femoral artery deployment.
abstract: A complication of the StarClose Vascular Closure System (Abbott, Des Plaines, IL) after a transarterial hepatic chemoembolization is described. After attempted clip deployment, the entire device became lodged in the tissues overlying the common femoral artery and could not be removed percutaneously. Successful removal of the device required surgical cutdown for removal and arterial repair. Entrapment of the StarClose vascular closure deployment system is a potentially serious complication that has been reported in the Manufacturer and User Facility Device Experience database, but has not been recognized in the literature.
authors.affiliation: Department of Radiology and Biomedical Imaging, University of California, San Francisco, 94143-0628, USA. jeremy.durack@ucsf.edu
authors.forename: Jeremy C
authors.initials: JC
authors.lastname: Durack
authors.forename: D
authors.initials: D
authors.lastname: Thor Johnson
authors.forename: Nicholas
authors.initials: N
authors.lastname: Fidelman
authors.forename: Robert K
authors.initials: RK
authors.lastname: Kerlan
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: LaBerge
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000628:therapy; D016461:Chemoembolization, Therapeutic; D005263:Femoral Artery / Q000601:surgery*; D005471:Fluoroscopy; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008113:Liver Neoplasms / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011677:Punctures; D018084:Ultrasonography, Interventional