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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
PubMed

Insights

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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