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Management of infected femoral closure devices
Kevin Geary1, Jeffrey T Landers, William Fiore
1Rochester General Hospital Department of Vascular Surgery, 1445 Portland Avenue, Rochester, NY 14621, USA. kevin.geary@viahealth.org
Abstract:
An increase in infectious complications has been noted with the introduction of percutaneous femoral artery closure devices. We report five cases of infected groins and/or femoral arteries following angiographic procedures that were completed using the Perclose Suture Mediated Closure Device (Perclose). Each patient required drainage of the abscess and removal of the Perclose suture. Most patients required more extensive vascular reconstructive procedures. When these complications arise, we recommend expeditious drainage of the abscess, removal of the suture, and adequate exposure of the femoral artery to facilitate repair of the vessel.
Insights
Infections and abscesses occurred in patients undergoing femoral artery closure with the Perclose device. Prompt drainage, suture removal, and surgical repair are recommended for these serious complications.
Area of Science:
- Vascular Surgery
- Infectious Diseases
Background:
- Percutaneous femoral artery closure devices are increasingly used.
- An increase in infectious complications has been observed with these devices.
Observation:
- This report details five cases of infected groins and/or femoral arteries.
- These infections occurred after angiographic procedures using the Perclose Suture Mediated Closure Device.
Findings:
- All five patients developed abscesses requiring drainage.
- Perclose suture removal was necessary in all cases.
- Most patients needed extensive vascular reconstructive procedures.
Implications:
- Infection is a significant risk associated with Perclose device use.
- Timely intervention including abscess drainage, suture removal, and surgical repair is crucial.
- Further research into preventing and managing these complications is warranted.