Successful Angioplasty of a Superficial Femoral Artery Stenosis Caused by a Suture-Mediated Closure Device

Gemmete, Joseph J.; Dasika, Narasimham L.; Forauer, Andrew R.; Cho, Kyung; Williams, David M.

doi:10.1007/s00270-003-2649-2

Cited by 22 publications

(21 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Five of the nine patients underwent surgical repair while the remaining four underwent percutaneous balloon angioplasty or stent to dilate the suture‐mediated stenosed area. In a review of the literature, only one case report has been published that describes the successful use of percutanous balloon angioplasty to dilate a focal arterial stenosis caused by a suture‐mediated closure device [20]. In that case report, the patient remained asymptomatic from the standpoint of the intervened leg after a 6‐month follow‐up.…”

Section: Discussionmentioning

confidence: 99%

Claudication secondary to Perclose use after percutaneous procedures

Jang

Kim

Gray

et al. 2006

Cathet Cardio Intervent

View full text Add to dashboard Cite

The use of suture-mediated arterial closure devices has dramatically increased with the increased number of percutaneous procedures being performed. Complications from suture-mediated closure devices have been underreported. Specifically, arterial stenosis resulting in claudication has not been previously described in detail. We present nine patients who presented with various leg symptoms after Perclose was used to achieve arterial hemostasis following percutaneous procedures. All cases were found to have significant arterial stenoses from the Perclose sutures. Once diagnosis was correctly made, the patients either underwent surgical repair or percutaneous balloon angioplasty and in all cases the symptoms abated.

show abstract

Section: Discussionmentioning

confidence: 99%

Claudication secondary to Perclose use after percutaneous procedures

Jang

Kim

Gray

et al. 2006

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…Infections, femoral artery compromise, arterial laceration, uncontrolled bleeding, pseudoaneurysm, atrioventricular fistula, as well as device embolism and limb ischemia have all been reported after VCD utilization (4,23). These reports span all VCD types including Perclose (24,25), Angio-Seal (26), and StarClose (27). One study suggests that the severity of individual complications may be worse after VCD use compared with manual compression for PCI patients as VCDs are deployed at the point of maximal anticoagulation while manual compression is de-…”

Section: Issues Challenging Vcd Adoption: Complications and Costmentioning

confidence: 96%

Vascular Closure Devices

Dauerman

Applegate

Cohen

2007

Journal of the American College of Cardiology

171

123

View full text Add to dashboard Cite

Vascular closure devices (VCDs) introduce a novel means for improving patient comfort and accelerating ambulation after invasive cardiovascular procedures performed via femoral arterial access. Vascular closure devices have provided simple, rapid, and reliable hemostasis in a variety of clinical settings. Despite more than a decade of development, however, VCD utilization has neither been routine in the U.S. nor around the world. Their limited adoption reflects concerns of higher costs for cardiac procedures and a lack of data confirming a significant reduction in vascular complications compared with manual compression. Recent data, however, suggest that VCD are improving, complication rates associated with their use may be decreasing, and their utilization may improve the process of care after femoral artery access. Challenges in the second decade of VCD experience will include performing definitive randomized trials, evaluating outcomes in higher-risk patients, and developing more ideal closure devices.

show abstract

“…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.…”

Section: Discussionmentioning

confidence: 60%