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Femoral stenosis due to a collagen closure device treated percutaneously by peripheral stenting

Sónia Lima1, Luís Raposo, Rui Campante Teles

  • 1Serviço de Cardiologia, Hospital de Santa Cruz, Carnaxide, Portugal. sonialimagil@gmail.com

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|November 10, 2009
PubMed

Insights

Late complications from vascular closure devices, like femoral artery stenosis, are uncommon but clinically significant. Stenting may be a safe and effective treatment when balloon angioplasty alone is insufficient.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Radiology

Background:

  • Late complications of vascular closure devices (VCDs) are not well-documented.
  • Puncture site stenosis may share mechanisms with intra-coronary stent restenosis.
  • Current treatments like balloon angioplasty may be insufficient for VCD-related stenosis.

Observation:

  • A 60-year-old patient presented with 90% stenosis of the femoral artery.
  • CT angiography suggested the stenosis was secondary to a prior VCD implantation.
  • This highlights a potential late complication of VCDs.

Findings:

  • Vascular closure device-related femoral artery stenosis is a potential late complication.
  • Balloon angioplasty alone may not resolve VCD-induced stenosis.
  • Stent placement is a safe and effective treatment option in such cases.

Implications:

  • Clinicians should consider VCDs as a potential cause of late femoral artery stenosis.
  • Treatment strategies may need to evolve beyond simple balloon angioplasty.
  • Stenting offers a viable therapeutic option for managing this specific complication.

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