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Femoral artery infection associated with a percutaneous arterial suture device

K Tiesenhausen1, M Tomka, T Allmayer

  • 1Department of Vascular Surgery, University Hospital, Graz, Austria. kurt.tiesenhausen@kfunigraz.ac.at

VASA. Zeitschrift Fur Gefasskrankheiten
|July 1, 2004
PubMed

Insights

A case report highlights a fatal femoral artery infection following closure device use. The Perclose system may increase infection risk, suggesting caution in routine diagnostic angiography.

Area of Science:

  • Vascular Surgery
  • Infectious Disease
  • Medical Devices

Background:

  • Percutaneous closure devices are commonly used after angiography.
  • The Perclose system is a suture-mediated device for arterial puncture site closure.
  • Aortic aneurysms require advanced treatment like stent graft exclusion.

Observation:

  • A 77-year-old patient developed a staphylococcal femoral artery infection and groin abscess post-angiography with Perclose device closure.
  • The infection necessitated surgical debridement and removal of the closure device suture.
  • The patient later experienced staphylococcal sepsis and died from aneurysm rupture despite antibiotic therapy.

Findings:

  • Use of the Perclose closure device is associated with an increased risk of femoral artery infection.
  • Complications include septic endarteritis and bacteremia.
  • Suture-mediated closure devices may harbor infectious risks.

Implications:

  • The Perclose system should be used with caution in routine diagnostic angiography due to infection risks.
  • Alternative closure methods may be safer for routine diagnostic procedures.
  • Vigilance for infection is crucial in patients undergoing percutaneous arterial interventions.

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