Iatrogenic Claudication from a Vascular Closure Device after Cardiac Catheterization
نویسندگان
چکیده
We report a case of iatrogenic claudication as a result of a misplaced percutaneous arterial closure device (PACD) used to obtain hemostasis after cardiac catheterization. The patient presented one week after his procedure with complaints suggestive of right lower extremity claudication. Computed tomographic angiography demonstrated a near total occlusion of the right common femoral artery from a PACD implemented during the cardiac catheterization. The use of PACD's to obtain rapid hemostasis is estimated to occur in half of all cardiac catheterizations. Ischemic complications as a result of these devices must be considered when evaluating post procedural patients with extremity complaints.
منابع مشابه
Long-term clinical outcomes after deployment of femoral vascular closure devices in coronary angiography and percutaneous coronary intervention: an observational single-centre registry follow-up
BACKGROUND We evaluated the long term clinical outcomes of femoral vascular closure devices following its deployment in coronary angiography and percutaneous coronary intervention (PCI) procedures. METHODS From June 2000 to September 2004, 265 patients who received femoral vascular closure devices after coronary angiography and PCIs were enrolled into the study. Patients' medical records were...
متن کاملThe efficacy of ultrasound-guided compression of iatrogenic femoral pseudo-aneurysms.
OBJECTIVE to evaluate ultrasound guided compression (UGC) for the treatment of iatrogenic femoral pseudoaneurysms (PA). DESIGN retrospective follow-up of 130 patients with suspected PA referred from the cardiac catheterisation laboratory over a 36-month period. RESULTS the overall incidence of PA was 0.5% and was significantly higher after therapeutic (1.5%) than diagnostic (0.3%) procedure...
متن کاملVascular Reconstruction in a Neonate after Iatrogenic Injury during Cardiac Catheterization
1 Cardiac catheterization has transformed the management of pediatric cardiac disease, as the indications for pediatric catheterization are broad and far-reaching.1–3 Cardiac catheterization, however, is not without risk. In pediatric patients, the rate of complications ranges from 7.8% to 16.2%.1,5–9 The most common complication is vascular injury, which accounts for nearly one third of all co...
متن کاملFemoral artery closure after cardiac catheterization.
After diagnostic and interventional cardiac catheterization, femoral artery closure devices offer quicker time to hemostasis, ambulation, and discharge than does manual compression. Nurses should understand how femoral artery closure devices work, the potential vascular complications that may occur with their use, and the recommended time to ambulation and discharge.
متن کاملPercutaneous closure of an iatrogenic atrial septal defect.
The use of the Tandem Heart percutaneous ventricular assist device (Tandem Heart pVAD, Cardiac Assist technologies, Pittsburgh, PA) as a bridge to recovery or to other cardiopulmonary support systems has been rising. One requirement for placement of this device is an intraatrial septostomy which is usually closed during the surgical insertion of more permanent ventricular assist devices. We pre...
متن کامل