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Iatrogenic claudication from a vascular closure device after cardiac catheterization
Luke Hermann1, Evelyn Chow, W Lane Duvall
1Mt. Sinai School of Medicine.
The Western Journal of Emergency Medicine
|February 5, 2011
Summary
A misplaced arterial closure device after cardiac catheterization caused leg claudication. This case highlights the need to consider device-related ischemia in patients with post-procedure extremity symptoms.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Radiology
Background:
- Percutaneous arterial closure devices (PACDs) are frequently used for hemostasis after cardiac catheterization.
- While generally safe, PACDs can lead to complications, including vascular occlusion.
Purpose of the Study:
- To report a case of iatrogenic claudication secondary to a misplaced PACD.
- To emphasize the importance of considering PACD-related ischemia in post-catheterization patients.
Main Methods:
- Case report detailing a patient with lower extremity claudication one week post-cardiac catheterization.
- Diagnostic workup included computed tomographic angiography (CTA).
Main Results:
- CTA revealed near-total occlusion of the right common femoral artery.
- The occlusion was attributed to a misplaced PACD used for hemostasis.
Conclusions:
- Iatrogenic claudication is a potential complication of PACD use.
- Vascular complications from PACDs should be evaluated in patients presenting with post-procedural extremity complaints.
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