Groin Infection Caused by a Percutaneous Femoral Artery Closure Device: Report of a Case

Abstract

Hemostasis after femoral artery catheterization is generally achieved by manual compression, which results in a low incidence of infection at the puncture site. Percutaneous femoral artery closure devices have recently been used to prevent bleeding complications, shorten the hospital stay, and reduce the patient's discomfort. However, they have been associated with infectious complications, necessitating surgical intervention, such as patch angioplasty or arterial bypass; the treatment depending on the damage to the artery and the type of device used. Thus, the possibility of infection should be kept in mind when employing these devices. We report a case of groin infection associated with one such device, known as "The Closer," which was successfully treated by drainage and removal of the suture material.

Safety and efficacy of staple‐mediated femoral arteriotomy closure: Results from a randomized multicenter study

“…Similarly, clinical evaluation of suture based closure devices such as the Perclose® confirm clinical efficacy [43]. However, there is a small but clinically significant increase in the incidence of femoral endarteritis, infection, and vascular occlusion with its use [44–48]. In this study, the EVS safely provided effective femoral arterial closure following sheath removal compared to the standard of manual compression.…”