title: A novel technique to retrieve a maldeployed vascular closure device.
abstract: OBJECTIVE
  To report a novel technique for endovascular retrieval of a maldeployed vascular closure device, obviating the need for a femoral cutdown.
  
  
  METHODS
  To remove a 6-F Angio-Seal device that embolized to the superficial femoral artery, the contralateral common femoral artery was accessed, and an 8-F, 65-cm-long sheath was inserted just proximal to the embolus. A second semistiff 0.035-inch buddy wire was advanced past the lesion along the sheath. A 0.014-inch wire was advanced past the embolus, and a SpiderFX embolic protection device was deployed 1 cm past the embolized Angio-Seal device. The sheath was advanced so as to push the embolus into the filter. The sheath and the filter containing the Angio-Seal device were then removed.
  
  
  CONCLUSIONS
  Endovascular retrieval of an embolized Angio-Seal device can be done using an embolic filter device, restoring arterial flow to the limb.
authors.affiliation: Staten Island University Hospital, Staten Island, NY, USA simratsuri@gmail.com.
authors.forename: Simrat
authors.initials: S
authors.lastname: Suri
authors.affiliation: Staten Island University Hospital, Staten Island, NY, USA.
authors.forename: Khanjan H
authors.initials: KH
authors.lastname: Nagarsheth
authors.affiliation: Staten Island University Hospital, Staten Island, NY, USA.
authors.forename: Sumeet
authors.initials: S
authors.lastname: Goraya
authors.affiliation: Staten Island University Hospital, Staten Island, NY, USA.
authors.forename: Kuldeep
authors.initials: K
authors.lastname: Singh
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods; D020878:Device Removal / Q000379:methods*; D017558:Elective Surgical Procedures; D004867:Equipment Design; D005260:Female; D005263:Femoral Artery; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D016896:Treatment Outcome; D065506:Vascular Closure Devices / Q000009:adverse effects*
keywords: collagen-based closure device; complication; embolic protection filter; embolization; retrieval technique; vascular closure device