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A case of intermittent claudication associated with the Angio-Seal™ vascular closure device after carotid artery
Makoto Motooka1, Hirokazu Kondo, Toshihiro Tamura
1Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
Insights
Intermittent claudication occurred after carotid artery stenting due to the Angio-Seal™ vascular closure device. Understanding this device
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Carotid artery stenting is a common procedure for stroke prevention.
- Vascular closure devices (VCDs) are frequently used for hemostasis after arterial access.
- Angio-Seal™ is a widely adopted VCD for femoral artery puncture sites.
Observation:
- A case of intermittent claudication was observed following carotid artery stenting.
- The complication was linked to the use of the Angio-Seal™ vascular closure device.
Findings:
- The Angio-Seal™ device, while facilitating early ambulation and reducing manual compression, has been associated with various vascular complications.
- This specific case highlights intermittent claudication as a potential, albeit uncommon, adverse event.
Implications:
- Physicians must be aware of the unique structural characteristics of the Angio-Seal™ device.
- Knowledge of potential complications, such as intermittent claudication, is crucial for patient safety and informed consent.
- Further vigilance and understanding of VCD-related adverse events are warranted.
Abstract:
We report a case of intermittent claudication caused by the use of Angio-Seal™ vascular closure device after carotid artery stenting. This device is widely used for hemostasis at the femoral arterial puncture site. It allows early ambulation of patients and reduces labor for manual compression. However, various vascular complications have been reported. Physicians need to know the unique structure of this device and possible complications arising after deployment.
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