Case of Acute Arterial Dissection Associated with Vascular Closure Device

Vascular complications associated with vascular closure devices (VCDs) rarely require emergency surgery. An 82-year-old man underwent percutaneous carotid artery stenting for internal carotid artery stenosis using the left common femoral artery as the access site. An Angio-Seal VCD was used for achi...

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Bibliographic Details
Published inThe Journal of Japanese College of Angiology Vol. 63; no. 2; pp. 23 - 26
Main Authors Tominaga, Naoki, Yamada, Hideaki, Umehara, Eitaro, Kanagawa, Maiko, Toda, Mikio, Kawahara, Tetsuya, Toyama, Nagahiro
Format Journal Article
LanguageJapanese
Published Japanese College of Angiology 10.03.2023
Subjects
Angio-Seal
arterial dissection
vascular closure device
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Summary:Vascular complications associated with vascular closure devices (VCDs) rarely require emergency surgery. An 82-year-old man underwent percutaneous carotid artery stenting for internal carotid artery stenosis using the left common femoral artery as the access site. An Angio-Seal VCD was used for achieving hemostasis at the puncture site but was unsuccessful; therefore, manual compression was performed. On postoperative day 1, the patient developed numbness and paresthesia in the left lower extremity. Angiography and contrast computed tomography showed occlusion of the left common femoral artery, and emergency surgery was performed. Here, we discuss our understanding of this observation.
ISSN:0387-1126
1880-8840
DOI:10.7133/jca.22-00030