title: Endovascular retrieval of a dislodged femoral arterial closure device with Alligator forceps.
abstract: The Angio-Seal (St. Jude Medical, Minnetonka, Minn) is a frequently used percutaneous femoral artery closure device to obtain hemostasis after arterial catheterization. Separation and migration of the device, leading to distal embolization and limb-threatening ischemia necessitating emergency surgery, is reported but extremely rare. We present a unique case of successful endovascular bailout management of a dislocated Angio-Seal with use of an Alligator Tooth Retrieval forceps (Cook Medical, London, United Kingdom).
authors.affiliation: Department of Vascular Surgery, St Antonius Hospital, Nieuwegein, The Netherlands. d.boersma1@antoniusziekenhuis.nl
authors.forename: Doeke
authors.initials: D
authors.lastname: Boersma
authors.forename: Marco J
authors.initials: MJ
authors.lastname: van Strijen
authors.forename: Geoffrey T L
authors.initials: GT
authors.lastname: Kloppenburg
authors.forename: Danyel A F
authors.initials: DA
authors.lastname: van den Heuvel
authors.forename: Jean-Paul P M
authors.initials: JP
authors.lastname: de Vries
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction / Q000379:methods; D017130:Angioplasty / Q000295:instrumentation* / Q000379:methods; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods; D003327:Coronary Disease / Q000175:diagnosis / Q000628:therapy; D020878:Device Removal / Q000379:methods; D004868:Equipment Failure; D005263:Femoral Artery / Q000000981:diagnostic imaging*; D005500:Follow-Up Studies; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D007866:Leg / Q000098:blood supply*; D008297:Male; D013525:Surgical Instruments; D016896:Treatment Outcome