Femoral artery infections associated with percutaneous arterial closure devices

• Published in: Journal of vascular surgery Vol. 34; no. 6; pp. 983 - 985
• Main Authors: Johanning, Jason M., Franklin, David P., Elmore, James R., Han, David C.
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Elsevier Inc 01.12.2001; Elsevier
• Subjects: Abscess - diagnosis; Abscess - etiology; Abscess - therapy; Aneurysm, False - diagnosis; Aneurysm, False - etiology; Aneurysm, False - therapy; Angioplasty; Bacterial diseases; Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels; Biological and medical sciences; Cardiac Catheterization - instrumentation; Cardiac Catheterization - methods; Cefazolin - therapeutic use; Cephalosporins - therapeutic use; Combined Modality Therapy; Debridement; Embolism - diagnosis; Embolism - etiology; Embolism - therapy; Endarteritis - diagnosis; Endarteritis - etiology; Endarteritis - therapy; Femoral Artery - surgery; Hemostasis, Surgical - adverse effects; Hemostasis, Surgical - instrumentation; Human bacterial diseases; Humans; Immunocompetence; Infectious diseases; Male; Medical sciences; Methicillin Resistance; Middle Aged; Necrosis; Reoperation; Staphylococcal Infections - diagnosis; Staphylococcal Infections - etiology; Staphylococcal Infections - therapy; Staphylococcus aureus; Surgical Wound Infection - diagnosis; Surgical Wound Infection - etiology; Surgical Wound Infection - therapy; Treatment Outcome; Closure without sutures; Human; Infection; Femoral artery; Catheterization; Clinical form; Instrumentation; Percutaneous route
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1067/mva.2001.120033

Hemostasis obtained by manual compression after femoral artery catheterization results in consistently low rates of major complications. A rare complication of femoral artery catheterization is arterial infection. Its occurrence after diagnostic angiography using manual compression has not been reported. We report two cases of femoral arterial infection after uneventful diagnostic catheterization in nonimmunocompromised patients using the perclose percutaneous arterial closure device. Our cases are representative of perclose associated infections, with delayed presentation of a staphylococcal arterial infection requiring arterial debridement and reconstruction. This article indicates that perclose use carries a risk of severe arterial infection. Surgeons should be aware of the potential infectious complications associated with perclose use and the need for aggressive treatment. (J Vasc Surg 2001;34:983-5.):