Related Experiment Video

Updated: May 8, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Percutaneous management of lower limb ischemia after the use of vascular closure devices

Sofiene Rekik1, Jérôme Brunet, Gilles Bayet

  • 1Cardiovascular Department, Clinique Rhône Durance, Avignon, France.

The Canadian Journal of Cardiology
|August 31, 2013
PubMed

Insights

Vascular closure device-related lower limb ischemia can be effectively treated with endovascular methods. This approach shows excellent immediate and midterm outcomes for patients undergoing percutaneous interventions.

Area of Science:

  • Cardiovascular Interventions
  • Vascular Surgery
  • Endovascular Therapy

Background:

  • Lower extremity ischemia is a rare but significant complication following vascular closure device (VCD) use in transfemoral procedures.
  • Systematic endovascular management aims to address VCD-related limb ischemia.

Purpose of the Study:

  • To evaluate the immediate and midterm outcomes of a systematic endovascular approach for treating lower limb ischemia caused by VCDs.
  • To assess the feasibility and effectiveness of percutaneous management for this complication.

Main Methods:

  • A cohort of patients who developed lower limb ischemia after VCD placement between 2006 and 2008 were systematically managed percutaneously.
  • Data on clinical characteristics, immediate outcomes, and midterm follow-up were collected and analyzed.

Main Results:

  • Eighteen patients with VCD-related lower limb ischemia were treated percutaneously, with successful crossing of the occlusion site in all cases.
  • Twelve patients underwent balloon angioplasty and six received stent implantation, achieving 100% angiographic success.
  • After a median 32-month follow-up, all patients were asymptomatic, with only two requiring reintervention.

Conclusions:

  • Endovascular treatment for VCD-related limb ischemia is a feasible and effective strategy.
  • This approach yields excellent immediate and midterm clinical outcomes, restoring limb viability and function.
Abstract

More Related Videos

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane08:05

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...