Document Detail


Surgical treatment of arterial ischemia associated with the use of the angioseal vascular closure device.
MedLine Citation:
PMID:  19998253     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Despite the theoretical effectiveness of the Angio-Seal closure device to control bleeding after arterial puncture it can increase the risk of ischemia.
OBJECTIVES: To describe arterial lesions caused by the device, surgical techniques needed to repair those lesions and surgical outcome in patients who underwent surgery for arterial ischemia after heart catheterization.
PATIENTS AND METHODS: Seven patients underwent surgery over a period of 12 months at our institution. Five patients underwent emergency surgery and two a delayed procedure. The cause of ischemia was dissection of an atheroma plaque at the puncture site in four cases, dissection of the superficial femoral artery in one case, thrombosis of the common femoral artery in one case, and plication of the posterior arterial wall in one case. Arterial repair in these patients required the insertion of a vascular graft in three cases, endarterectomy plus angioplasty in two cases, endarterectomy plus graft interposition plus thrombectomy of the superficial femoral artery in one case and endarterectomy plus femoropopliteal bypass in one case.
RESULTS: Treatment was successful in all patients. Mean follow up was 7.6 months (range 5-11 months). During the study period one patient died due to cardiopathy. No patients had to be re-operated and no limb losses were recorded. All the patients were asymptomatic from a vascular point of view with normal active lives for their age.
CONCLUSIONS: Surgical repair is effective, although, generally, it is not restricted to a simple thrombectomy, requiring the use of different arterial repair techniques.
Authors:
A Pontón; C P Negueruela; J M Bernal; I García; E Arnáiz; L D Solórzano; J M Revuelta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  38     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-12-09     Completed Date:  2010-02-04     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  334-7     Citation Subset:  IM    
Affiliation:
Hospital Universitario Marqués de Valdecilla, Santander, Spain. aponton@comcantabria.es
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angioplasty
Blood Vessel Prosthesis Implantation
Endarterectomy
Equipment Design
Female
Femoral Artery / surgery*
Heart Catheterization / adverse effects*
Hemorrhage / etiology,  prevention & control*
Hemostatic Techniques / adverse effects*,  instrumentation
Humans
Ischemia / etiology,  surgery*
Lower Extremity / blood supply*
Male
Middle Aged
Punctures
Thrombectomy
Thrombosis / etiology,  surgery*
Time Factors
Treatment Outcome
Vascular Surgical Procedures*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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