Acute arterial occlusion due to vascular closure device: A report of two cases

Abstract

Vascular closure devices are frequently used after percutaneous arterial interventions to achieve hemostasis at the puncture site and facilitate early ambulation. Occasionally, complications have been reported with closure devices, such as hematoma, infection, arteriovenous fistula, pseudoaneurysm, and ischemia. This is a report of 2 cases of severe, acute-onset arterial occlusion and critical limb ischemia, one of which occurred in the upper limb following the use of a vascular closure device, and the required surgical treatment.

Ultrasound‐guided deployment of ProGlide™ device in transfemoral transcatheter aortic valve implantation and risk reduction of vascular complications: A propensity‐matched cohort study

“…We hypothesize that improper VCD insertion (detectable by ultrasound) may lead to vascular complications including, but not limited to, acute arterial partial/complete occlusion, as well as failure of hemostasis, hematoma, and pseudoaneurysm. [16][17][18][19][20] We assessed rate of vascular complications in TAVI patients with ultrasound-guidance for the use of ProGlide™ and ProStyle™ and propensity matched this population to those who underwent VCD insertion without ultrasound-guidance to control for differences in baseline characteristics between the two groups.…”

“…Hence, we hypothesized that ultrasound‐guidance of deployment of suture‐mediated VCDs decreases risk of related complications in patients undergoing TAVI, because it allows trained operators to more reliably identify improper VCD insertion based on key ultrasound features. We hypothesize that improper VCD insertion (detectable by ultrasound) may lead to vascular complications including, but not limited to, acute arterial partial/complete occlusion, as well as failure of hemostasis, hematoma, and pseudoaneurysm 16–20 …”