To present a case of extensive thigh hematoma that developed after use of a percutaneous suturing device for retrograde popliteal artery puncture.
Case Report:
A 55-year-old woman underwent endovascular treatment for a short occlusion of the right superficial femoral artery via a retrograde popliteal approach, after which the puncture site was closed with a Closer suture-mediated device. Several hours later, massive hematoma of the right thigh developed, which was noticed only after the patient's leg became markedly swollen and hypotension developed.
Conclusions:
The use of a suture-mediated closure device for a retrograde popliteal artery puncture may not be recommended.
DuffinDCMuhlesteinJBAllissonSB. Femoral arterial puncture management after percutaneous coronary procedures: a comparison of clinical outcomes and patient satisfaction between manual compression and two different vascular closure devices. J Invasive Cardiol. 2001;13:354–362.
2.
SesanaMVaghettiMAlbieroR. Effectiveness and complications of vascular access closure devices after interventional procedures. J Invasive Cardiol. 2000;12:395–399.
3.
HahnUBetschAWiskirchenJ. A new device for percutaneous suture-mediated closure of arterial puncture sites using exteriorized needles: initial experience. J Invasive Cardiol. 2001;13:456–459.
4.
HoffmannKSchottUErbM. Remote suturing for percutaneous closure of popliteal artery access. Cathet Cardiovasc Diagn. 1998;43:477–482.
5.
HenryMAmorM. A new access site management tool: the Angio-Seal hemostatic puncture closure device. J Endovasc Surg.1995;2:289–296.
6.
GoyenMManzSKrogerK. Interventional therapy of vascular complications caused by the hemostatic puncture closure device angioseal. Catheter Cardiovasc Interv. 2000;49:142–147.
7.
SteinkampHJScheinertDHettwerH. PTLA [percutaneous transluminal laser angioplasty] recanalization of femoral artery stenoses/occlusions after Angio-Seal administration [in German]. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 1999;170:105–108.
8.
KulickDLRedikerDE. Use of the Perclose device in the brachial artery after coronary intervention. Catheter Cardiovasc Interv. 1999;46:111–112.
9.
GliechVDubelHPRutschW. Suture closure of the brachial artery access site post-coronary catheterization. J Invasive Cardiol. 2001;13:12–14.
10.
HenryMAmicabileCAmorM. Peripheral arterial angioplasty: value of the popliteal approach. Apropos of 30 cases [in French]. Arch Mal Coeur Vaiss. 1993;86:463–469.
11.
YilmazSSindelTCekenK. Subintimal recanalization of long superficial femoral artery occlusions through the retrograde popliteal approach. Cardiovasc Intervent Radiol. 2001;24:154–160.
