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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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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Abstract 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.
AbstractList 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.
Author Umehara, Eitaro
Toda, Mikio
Toyama, Nagahiro
Kanagawa, Maiko
Tominaga, Naoki
Yamada, Hideaki
Kawahara, Tetsuya
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  fullname: Tominaga, Naoki
  organization: Department of Internal Medicine, Shinkomonji Hospital
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  fullname: Yamada, Hideaki
  organization: Department of Vascular Surgery, Shinkomonji Hospital
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  fullname: Umehara, Eitaro
  organization: Department of Cardiology, Tobata General Hospital
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  fullname: Kanagawa, Maiko
  organization: Department of Internal Medicine, Shinkomonji Hospital
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  fullname: Toda, Mikio
  organization: Department of Internal Medicine, Shinkomonji Hospital
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  fullname: Kawahara, Tetsuya
  organization: Department of Internal Medicine, Shinkomonji Hospital
– sequence: 7
  fullname: Toyama, Nagahiro
  organization: Department of Internal Medicine, Shinkomonji Hospital
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1) Patel MR, Jneid H, Derdeyn CP, et al; American Heart Association Diagnostic and Interventional Cardiac Catheterization Committee of the Council on Clinical Cardiology, Council on Cardiovascular Radiology and Intervention, Council on Peripheral Vascular Disease, Council on Cardiovascular Surgery and Anesthesia, and Stroke Council: Arteriotomy closure devices for cardiovascular procedures. Circulation 2010; 122: 1882–1893
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Snippet Vascular complications associated with vascular closure devices (VCDs) rarely require emergency surgery. An 82-year-old man underwent percutaneous carotid...
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SubjectTerms Angio-Seal
arterial dissection
vascular closure device
Title Case of Acute Arterial Dissection Associated with Vascular Closure Device
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