Korean J Vasc Endovasc Surg.  2013 Aug;29(3):103-108. 10.5758/kjves.2013.29.3.103.

Intraluminal Snared-Atheroma Causing Common Femoral Artery Stenosis after Using Perclose Suture-Mediated Closure System

• Park JY
• Choe YM
• Shin WY
• Lee JB
• Jeon YS
• Cho SG
• Kwon JN
• Hong KC

• KMID: 1464408
• DOI: http://doi.org/10.5758/kjves.2013.29.3.103

Abstract

Mechanical closing devices were developed to shorten bed rest following percutaneous vascular intervention, and recently, the devices are replacing the conventional manual compression. Among the closing devices, the Perclose suture-mediated closure system (Perclose/Proglide) is known to be a safe and effective method that permits faster hemostasis and earlier ambulation compared with manual compression. However, with increased usage of femoral closure devices, reports of complications have emerged. Most reported complications are local bleedings, hematomas, and wound infections. Herein, we report a rare case: common femoral artery (CFA) stenosis after using Perclose suture-mediated closure system. After failure of secondary ballooning of the CFA stenotic segment, CFA was opened operatively and we found that snared atheroma by Perclose suture material was occupying the CFA lumen. Endarterectomy was performed for the lesion and the CFA stenosis was improved.

Keyword

Angioplasty; Femoral artery; Complication

MeSH Terms

Angioplasty
Bed Rest
Constriction, Pathologic
Endarterectomy
Femoral Artery
Hematoma
Hemostasis
Plaque, Atherosclerotic
Sutures
Walking
Wound Infection