A Novel Intervention to Treat Failed Angio-Seal Footplate Deployment: Two Case Series

Clinical Medicine Insights. Case Reports
Thomas C Hall, Said Habib

Abstract

Vascular closure devices are commonly used to achieve rapid haemostasis and early ambulation following arterial puncture for endovascular procedures. Although device failure rates are low, the consequences of arterial occlusion include severe limb ischaemia. We describe a novel endovascular technique for the treatment of Angio-Seal arterial closure device (Terumo, Europe NV) failure causing femoral artery occlusion. We describe 2 cases of lower limb angioplasty performed for critical limb ischaemia where the access site was closed using an Angio-Seal according to the manufacturer instructions for use (IFU). In both cases, however, ultrasound could not be used during deployment of the Angio-Seal due to body habitus and small subcutaneous haematoma. In both cases, the device failed and occluded the femoral artery. Access was achieved via a retrograde approach from the contralateral limb in one case and a retrograde approach from the ipsilateral profunda artery in the other case. Angiography confirmed that the footplate of the Angio-Seal had occluded the femoral artery. Subsequently, the occlusion was crossed and a short balloon-mounted bare metal stent placed to push the footplate against the arterial wall that resulted in resolu...Continue Reading

References

Aug 7, 2004·Journal of Vascular Surgery·Alan AbandoSteven Katz
Sep 15, 2004·The Surgical Clinics of North America·Steven G Katz, Alan Abando
Mar 22, 2006·Annals of Vascular Surgery·Jan WilleJean-Paul P M de Vries
Jul 14, 2010·Journal of Vascular Surgery·Carlos F BecharaPeter H Lin
Mar 29, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L AzémaY Gouëffic
Aug 25, 2012·JACC. Cardiovascular Interventions·Venkatesan D VidiFrederic S Resnic
Oct 2, 2013·The Indian Journal of Radiology & Imaging·Sachin ModiSuresh Babu
Aug 8, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Klaus LinniThomas Hölzenbein
Feb 24, 2015·Journal of Vascular Surgery·Bao-Ngoc NguyenAnton N Sidawy
Mar 15, 2015·Annals of Vascular Surgery·Pierre-Olivier ThineyPatrick Lermusiaux
Jun 11, 2015·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Abdullah M Alshehri, Mohamed Elsharawy
Jul 8, 2017·JACC. Cardiovascular Interventions·Yann GouëfficBahaa Nasr
Feb 10, 2018·Therapeutic Advances in Cardiovascular Disease·Daniel BrancheauMarcel Zughaib
Apr 16, 2018·Annals of Vascular Surgery·Lauren E JonesSamuel S Ahn

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Methods Mentioned

BETA
amputation

Software Mentioned

Seal
Angio

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.