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Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report
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 punctur...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6427873/ https://www.ncbi.nlm.nih.gov/pubmed/30894201 http://dx.doi.org/10.1186/s13256-018-1950-2 |
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author | Urata, Ryota Nomura, Tetsuya Hori, Yusuke Yoshioka, Kenichi Kubota, Hiroshi Miyawaki, Daisuke Sugimoto, Takeshi Kikai, Masakazu Keira, Natsuya Tatsumi, Tetsuya |
author_facet | Urata, Ryota Nomura, Tetsuya Hori, Yusuke Yoshioka, Kenichi Kubota, Hiroshi Miyawaki, Daisuke Sugimoto, Takeshi Kikai, Masakazu Keira, Natsuya Tatsumi, Tetsuya |
author_sort | Urata, Ryota |
collection | PubMed |
description | 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. 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. 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. |
format | Online Article Text |
id | pubmed-6427873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64278732019-04-01 Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report Urata, Ryota Nomura, Tetsuya Hori, Yusuke Yoshioka, Kenichi Kubota, Hiroshi Miyawaki, Daisuke Sugimoto, Takeshi Kikai, Masakazu Keira, Natsuya Tatsumi, Tetsuya J Med Case Rep Case Report 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. 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. 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. BioMed Central 2019-03-21 /pmc/articles/PMC6427873/ /pubmed/30894201 http://dx.doi.org/10.1186/s13256-018-1950-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Urata, Ryota Nomura, Tetsuya Hori, Yusuke Yoshioka, Kenichi Kubota, Hiroshi Miyawaki, Daisuke Sugimoto, Takeshi Kikai, Masakazu Keira, Natsuya Tatsumi, Tetsuya Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report |
title | Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report |
title_full | Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report |
title_fullStr | Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report |
title_full_unstemmed | Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report |
title_short | Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report |
title_sort | successful bailout procedure for acute popliteal artery occlusion associated with exoseal® vascular closure device: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6427873/ https://www.ncbi.nlm.nih.gov/pubmed/30894201 http://dx.doi.org/10.1186/s13256-018-1950-2 |
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