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Lower limb ischemic complications after the use of arterial puncture closure devices

F Biancari1, K Ylönen, M Mosorin

  • 1Division of Cardio-thoracic and Vascular Surgery, Department of Surgery, Oulu University Hospital, Oulu, Finland. faustobiancari@yahoo.it

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|June 17, 2006
PubMed

Insights

Arterial puncture closure devices (APCDs) can cause serious lower limb ischemia, including thrombosis and dissection of the common femoral artery. Awareness and prompt treatment are crucial for managing these potential complications.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Radiology

Background:

  • Arterial puncture closure devices (APCDs) are commonly used to achieve hemostasis after percutaneous vascular interventions.
  • These devices aim to reduce complications and improve patient recovery times.

Observation:

  • Three cases of lower limb ischemia were observed following the use of an Angio-Seal APCD.
  • Two cases involved thrombosis of the common femoral artery after lower limb angioplasty.
  • One case presented with dissection of the common femoral artery after coronary angiography.

Findings:

  • The Angio-Seal APCD was implicated in causing both thrombosis and dissection of the common femoral artery.
  • These complications occurred in the context of lower limb angioplasty and coronary angiography.
  • The observed events suggest that complications associated with APCDs may not be isolated incidents.

Implications:

  • Radiologists, cardiologists, and vascular surgeons must be aware of the potential for APCD-related lower limb ischemia.
  • Early recognition and appropriate management are essential to mitigate these vascular complications.
  • Vigilance regarding APCD use is necessary to ensure patient safety in interventional procedures.

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