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Related Experiment Videos

Claudication secondary to Perclose use after percutaneous procedures.

James J Jang1, Michael Kim, Bruce Gray

  • 1Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josée and Henry R. Kravis Center for Cardiovascular Health, Mount Sinai School of Medicine, New York, New York 10029, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|April 6, 2006
PubMed
Summary

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Suture-mediated arterial closure devices, like Perclose, can cause leg artery stenosis and claudication. Prompt diagnosis and treatment, such as angioplasty, effectively resolve these complications.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Device Complications

Background:

  • Percutaneous procedures frequently utilize suture-mediated arterial closure devices for hemostasis.
  • Complications associated with these devices are often underreported in medical literature.
  • Arterial stenosis leading to claudication is a specific complication not previously detailed.

Observation:

  • Nine patients experienced leg symptoms post-percutaneous procedures using the Perclose device.
  • Clinical presentation included symptoms indicative of lower extremity arterial compromise.
  • Diagnostic evaluation revealed significant arterial stenoses attributed to Perclose sutures.

Findings:

  • Suture material from the Perclose device was identified as the cause of arterial stenosis.

Related Experiment Videos

  • The stenosis directly correlated with the patients' reported claudication and leg symptoms.
  • Successful treatment outcomes were achieved through surgical repair or percutaneous balloon angioplasty.

    • Implications:

    • Highlights a previously underreported complication of suture-mediated closure devices.
    • Emphasizes the importance of considering device-related stenosis in patients with post-procedural leg symptoms.
    • Suggests prompt diagnosis and intervention can effectively manage this complication, improving patient outcomes.