Novel Technique to Treat Common Femoral Artery Pseudoaneurysm using Angio-Seal Closure Device

Robken, Jon; Shammas, Nicolas W.

doi:10.1055/s-0034-1382100

Cited by 16 publications

(14 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Endovascular treatment with covered stents and coil embolization is another alternative option that is mainly used for the treatment of FAPs. In addition, the use of closure devices is a novel technique for FAP treatment [15]. All approaches have their distinct advantages and disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms compared with open surgery: first experiences from a single institution

Saydam¹,

Şerefli²,

Engin³

et al. 2020

Ann Surg Treat Res

View full text Add to dashboard Cite

The frequency of iatrogenic femoral artery pseudoaneurysm (FAP) diagnoses has recently increased due to the growing use of diagnostic and interventional procedures involving large diameter sheaths, as well as more potent anticoagulation procedures. In this study, we aimed to present our experience with ultrasound-guided thrombin injection (UGTI) in patients with iatrogenic FAP. Methods: We studied patients with FAP who were under anticoagulant or antiplatelet therapies preoperatively, or who had received a loading dose during an interventional procedure. The outcomes of patients with FAP treated with UGTI were compared with those of patients who underwent open surgical repair for pseudoaneurysms. Results: Among the 55 patients included in this study, 24 had UGTI while 31 had open surgery. The success rate was 95.8% when taking into consideration primary and secondary attempts. The mean duration of the procedure was shorter in patients with UGTI (10.1 ± 3.54 minutes) when compared with those who underwent open surgery (76.55 ± 26.74 minutes, P ≤ 0.001). In addition, the total complication frequency was significantly higher in the open surgery group (P = 0.005), as was their length of hospital stay (P < 0.001). Cost analysis showed significant differences between UGTI

show abstract

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms compared with open surgery: first experiences from a single institution

Saydam¹,

Şerefli²,

Engin³

et al. 2020

Ann Surg Treat Res

View full text Add to dashboard Cite

show abstract

“…Although we describe the off-label use of the Angio-Seal vascular closure device to repair femoral pseudoaneurysm, our report is not enough to demonstrate the safety and efficacy of this method. Previous papers had described the same method 6, 7. However, we additionally reported the long-term outcome by 3D-CTA.…”

Section: Discussionmentioning

confidence: 92%

Off-label use of Angio-Seal vascular closure device for the repair of femoral pseudoaneurysm after transfemoral coronary intervention

Watanabe

Hozawa

Ishiguro

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

Pseudoaneurysm was caused at the puncture site of the left groin after percutaneous coronary intervention. Balloon tamponade was attempted for hemostasis at the aneurysmal site. However, hemostasis was not achieved. Next, direct puncture of the pseudoaneurysm was tried. A 0.014-inch guidewire was crossed from the neck of the pseudoaneurysm to the left common femoral artery. The wire was replaced with a 0.035-inch guidewire. An 8F Angio-Seal (Terumo Interventional Systems, Somerset, NJ) was inserted, and a collagen plug was deployed at the neck of the pseudoaneurysm. Final angiography revealed completion of hemostasis. Three-dimensional computed tomography angiography after 8 months revealed no evidence of recurrence.

show abstract

“…Успешное закрытие псевдоаневризмы бедренной артерии после ее компрессии происходит в 59-90 % случаев [2,12,13]. Использование антиагрегантов, антикоагулянтов, а также большие размеры аневризмы (> 4 см) являются предикторами неудачного лечения псевдоаневризм путем компрессии [14].…”

Section: оригінальні дослідженняunclassified

“…Ряд авторов предложили методы лечения пседоаневризм бедренной артерии с использованием Angio-Seal Closure Device [14,15]. Из них наиболее контролируемой техникой нам представляется следующая [14]: доступ к шейке псевдоаневризмы проводят ретроградно путем перкутанной пункции самой аневризмы с последующим закрытием дефекта в бедренной артерии Angio-Seal Closure Device. Поиск шейки псевдоаневризмы и проведение проводника в бедренную артерию через нее осуществляют под контролем предварительно проведенного в аневризму антеградно из противоположного бедренного доступа «маркерного» проводника.…”

Section: оригінальні дослідженняunclassified

Experience of endovascular treatment of common femoral artery pseudoaneurysm with usage Angio-Seal Closure Device

Cherednichenko

2020

Endovasc. Neurorad.

View full text Add to dashboard Cite

One case of successful treatment of the common femoral artery pseudoaneurysm with usage of modified technique of pseudoaneurysm neck sealing with Angio-Seal with retrograde access percutaneously is presented.A 52-year-old man was admitted in the recovery period of ischemic stroke in the left carotid basin. A total subtraction cerebral angiography was performed, which revealed severe stenosis in the bulb of the left internal carotid artery with ulcerated contour and severe stenosis in the ostium of the left vertebral artery. Hemostasis was performed by compression. A pressure dressing was applied for a day. The puncture site was without any problems on the next day. The patient received double antiplatelet therapy 5 days before endovascular surgery. Before surgery, palpation in the right inguinal region determines a rounded painful compaction. Carotid stenting on the left side, stenting of the left vertebral artery and control angiography of arteries of the right lower limb were performed by left-side femoral access. Pseudoaneurysm in the bifurcation of the right common femoral artery with a narrow neck was verified. Attempts to cure it by manual compression under angiographic control and ultrasound control were unsuccessful.After 6 days, endovascular treatment of pseudoaneurysms of the right common femoral artery with closure of the pseudoaneurysm neck was performed. The right common femoral artery was catheterized with left radial access with diagnostic catheter on a hydrophilic wire 0.035ʺ. This wire was carefully advanced into pseudoaneurysm through a defect in the common femoral artery and subsequently served as a marker. The pseudoaneurysm was punctured with miniaccess needle, then the 0.018ʺ wire passed through the pseudoaneurysm neck into the femoral artery retrogradly, focusing on the “marker” wire. A 6F radial introducer is introduced along 0.018ʺ wire. Further, this access was used to close the pseudoaneurysm neck with the Angio-Seal Closure Device 6F according to the standard method. In a control angiograms, a pseudoaneurysm did not contrast, arteries are passable without stenosis and signs of dissection. Hemostasis at the site of puncture of the radial artery was performed with a hemostatic bracelet. The patient was discharged from the clinic to continue treatment in a rehabilitation neurological center.This technique of endovascular treatment of postcatheterization pseudoaneurysms of the common femoral artery is quite simple, causing minimal discomfort for the patient. The closure is immediate and angiographically controled. The use of radial access instead of contralateral femoral access for introducing of a “marker” wire and angiographic control reduces the risk of local complications at the access site.

show abstract

Novel Technique to Treat Common Femoral Artery Pseudoaneurysm using Angio-Seal Closure Device

Cited by 16 publications

References 11 publications

Ultrasound-guided thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms compared with open surgery: first experiences from a single institution

Ultrasound-guided thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms compared with open surgery: first experiences from a single institution

Off-label use of Angio-Seal vascular closure device for the repair of femoral pseudoaneurysm after transfemoral coronary intervention

Experience of endovascular treatment of common femoral artery pseudoaneurysm with usage Angio-Seal Closure Device

Contact Info

Product

Resources

About