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Immediate Remote Common Femoral Artery Rupture After Vascular Closure Device Deployment.

Junghyun Park1, Jeffrey Steinberg2

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|May 4, 2026
PubMed
Summary
This summary is machine-generated.

Vascular closure devices can cause dangerous femoral artery ruptures away from the insertion point. Seek immediate medical attention for sudden hemodynamic instability post-procedure to rule out proximal arterial injury.

Keywords:
angiographyarterial rupturefemoral arterypostoperative complicationsretroperitoneal hemorrhagevascular closure devices

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Area of Science:

  • Cardiovascular medicine
  • Interventional cardiology
  • Vascular surgery

Background:

  • Vascular closure devices (VCDs) are commonly used for arterial access site hemostasis.
  • Complications associated with VCDs, though infrequent, can be severe.

Purpose of the Study:

  • To highlight a rare but life-threatening complication of VCDs: remote femoral artery rupture.
  • To emphasize the importance of prompt evaluation for proximal arterial injury in cases of hemodynamic instability post-VCD deployment.

Main Methods:

  • Case review and literature synthesis.
  • Analysis of clinical presentations and diagnostic findings in patients experiencing complications.

Main Results:

  • Vascular closure devices can lead to femoral artery rupture distant from the puncture site.
  • Sudden hemodynamic instability following VCD deployment is a critical indicator of potential proximal arterial injury.

Conclusions:

  • Clinicians must maintain a high index of suspicion for remote arterial injury when hemodynamic instability occurs after VCD use.
  • Early recognition and evaluation are crucial for managing this potentially life-threatening complication, regardless of the perceived technical success of femoral access.