Obturator foramen bypass for infective groin caused by closure device

A 69-year-old man underwent carotid artery stenting through the right femoral artery with a percutaneous vascular closure device for hemostasis. Eleven days later, an infective femoral artery pseudoaneurysm was diagnosed by computed tomography. At surgery, a defect in the femoral artery was observed...

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Bibliographic Details
Published inAsian cardiovascular & thoracic annals Vol. 25; no. 2; pp. 131 - 133
Main Authors Irie, Yoshihito, Kondo, Shunichi, Rokkaku, Kyu, Tsuboi, Eitoshi, Takano, Hiroshi, Yokoyama, Hitoshi
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.02.2017
Subjects
Aged
Aneurysm, False - diagnostic imaging
Aneurysm, False - microbiology
Aneurysm, False - surgery
Aneurysm, Infected - diagnostic imaging
Aneurysm, Infected - microbiology
Aneurysm, Infected - surgery
Angioplasty - adverse effects
Angioplasty - instrumentation
Blood Vessel Prosthesis Implantation - methods
Carotid Artery Diseases - therapy
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - methods
Computed Tomography Angiography
Femoral Artery - diagnostic imaging
Femoral Artery - injuries
Hemostatic Techniques - adverse effects
Hemostatic Techniques - instrumentation
Humans
Iliac Artery - diagnostic imaging
Iliac Artery - surgery
Male
Punctures
Stents
Treatment Outcome
Vascular Closure Devices - adverse effects
Hemostasis
Wound closure techniques
Aneurysm
false
surgical
Blood vessel prosthesis implantation
Vascular surgical procedures
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Summary:A 69-year-old man underwent carotid artery stenting through the right femoral artery with a percutaneous vascular closure device for hemostasis. Eleven days later, an infective femoral artery pseudoaneurysm was diagnosed by computed tomography. At surgery, a defect in the femoral artery was observed, corresponding to the remnants of the closure device. Removal of the foreign material, debridement, wound irrigation, and arterial patch plasty were performed, but the infection and leg ischemia did not improve. After several failed attempts to revascularize and control the infection, obturator foramen bypass was performed. The postoperative course was uneventful, indicating the usefulness of this procedure.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:0218-4923
1816-5370
DOI:10.1177/0218492316648584