title: Stroke and pulmonary embolism following manual and bandage compression after bleeding from a common femoral artery access site.
abstract: Manual compression (MC) is required to seal a common femoral artery (CFA) access site after endovascular intervention unless a mechanical closure device is used. Herein we report previously unpublished complications following MC of a CFA access site: stroke (embolism through a patent foramen ovale) and pulmonary embolism. These were a T thrombosis of the internal carotid artery combined with multi pulmonary embolisms and a case of pulmonary embolism. No thrombophilic conditions or other possible causes of venous emboli could be demonstrated in either case by laboratory tests or color-Duplex ultrasound. These were the only two cases of pulmonary and cerebral embolism seen at our university tertiary referral center, over a five-year period. This short report considers the potential risk factors as well as a prevention policy for these complications.
authors: Department of Surgery, Vascular and Endovascular Surgery Unit, University of Siena, Siena, Italy. e.chisci@gmail.com
authors: E
authors: E
authors: Chisci
authors: F
authors: F
authors: Setacci
authors: M
authors: M
authors: Giubbolini
authors: G
authors: G
authors: de Donato
authors: C
authors: C
authors: Setacci
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D000925:Anticoagulants / Q000008:administration & dosage; D058128:Compression Bandages / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery; D054092:Foramen Ovale, Patent / Q000150:complications; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011312:Pressure; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D011677:Punctures; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants