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KMID : 0904020130290030103
Journal of Korean Society for Vascular Surgery
2013 Volume.29 No. 3 p.103 ~ p.108
Intraluminal Snared-Atheroma Causing Common Femoral Artery Stenosis after Using Perclose Suture-Mediated Closure System
Park Jae-Young

Choe Yun-Mee
Shin Woo-Young
Lee Joung-Bum
Jeon Yong-Sun
Cho Soon-Gu
Kwon Jung-Nam
Hong Kee-Chun
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
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