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Published on: November 29, 2024
Cutaneous migration of the StarClose device.
Markus Aschwanden1, Deniz Bilecen, Christoph Thalhammer
1Department of Angiology, University Hospital Basel, Basel, Switzerland. aschwandenm@uhbs.ch
Summary
A vascular closure device migrated through the skin 10 weeks after femoral artery puncture for angioplasty. This rare complication may be linked to inflammatory vascular changes in patients with giant cell arteritis.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Complications
Background:
- Percutaneous transluminal angioplasty (PTA) is a common procedure for treating peripheral artery disease.
- Vascular closure devices (VCDs) are frequently used to achieve hemostasis after arterial puncture.
- Giant cell arteritis (GCA) is a systemic vasculitis that can affect large and medium-sized arteries.
Observation:
- A case of transcutaneous migration of a VCD is reported.
- The device migrated 10 weeks after placement following femoral artery puncture for PTA.
- The patient had a history of giant cell arteritis.
Findings:
- This is the first reported instance of VCD transcutaneous migration.
- Focal inflammatory vascular wall changes are postulated as a predisposing factor.
- Giant cell arteritis may increase the risk of VCD complications.
Implications:
- Highlights a rare but significant complication of VCD use.
- Suggests the importance of considering underlying vasculitis in VCD management.
- May inform future VCD design and patient selection criteria.
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