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Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report.
- Source :
-
Journal of medical case reports [J Med Case Rep] 2019 Mar 21; Vol. 13 (1), pp. 90. Date of Electronic Publication: 2019 Mar 21. - Publication Year :
- 2019
-
Abstract
- Background: Vascular closure devices have been widely used to achieve rapid hemostasis after percutaneous catheterization procedures via the common femoral artery. The EXOSEAL vascular closure device is a device that can deliver a bioabsorbable polyglycolic acid plug to fill the subcutaneous puncture route at the groin for rapid hemostasis, and this device has a lower risk of arterial occlusion than other vascular closure devices.<br />Case Presentation: An 83-year-old Japanese man underwent percutaneous coronary intervention for a proximal stenosis in his left circumflex artery through a 7-Fr sheath from his right common femoral artery. We encountered acute popliteal artery occlusion associated with EXOSEAL vascular closure device. We detected the plug material of this device at the occluded lesion by intravascular ultrasound, and performed successful bailout stenting after pulling the embolus with an inflated balloon catheter up to the superficial femoral artery from the popliteal artery.<br />Conclusion: Acute limb ischemia caused by an EXOSEAL vascular closure device is a very rare complication. Balloon angioplasty and stenting are considered to be effective options to deal with the plug dislodgement of an EXOSEAL vascular closure device. We must be prepared for every rare complication during endovascular treatment.
- Subjects :
- Aged, 80 and over
Angiography
Angioplasty, Balloon
Arterial Occlusive Diseases diagnostic imaging
Arterial Occlusive Diseases surgery
Endovascular Procedures
Femoral Artery diagnostic imaging
Femoral Artery surgery
Humans
Male
Popliteal Artery diagnostic imaging
Popliteal Artery injuries
Popliteal Artery surgery
Postoperative Complications diagnostic imaging
Arterial Occlusive Diseases etiology
Femoral Artery injuries
Vascular Closure Devices adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1752-1947
- Volume :
- 13
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of medical case reports
- Publication Type :
- Academic Journal
- Accession number :
- 30894201
- Full Text :
- https://doi.org/10.1186/s13256-018-1950-2