ABSTRACT
A case of femoral artery obstruction following application of a StarClose type arterial puncture closing device (APCD) is presented. Ultrasonographic and angiographic imaging of this complication was obtained. The posterior wall of the vessel was accidentally caught in the anchoring element of the nitinol clip. This complication was successfully resolved by endovascular treatment and the implantation of a stent.
Subject(s)
Arterial Occlusive Diseases/etiology , Femoral Artery/diagnostic imaging , Hemostatic Techniques/adverse effects , Hemostatic Techniques/instrumentation , Vascular Surgical Procedures/methods , Alloys , Arterial Occlusive Diseases/surgery , Constriction, Pathologic/etiology , Constriction, Pathologic/surgery , Equipment Design , Humans , Male , Middle Aged , Punctures , Radiography , Stents , Treatment Outcome , UltrasonographyABSTRACT
Endovascular treatment of pseudoaneurysms that develop as a complication of pancreatitis is increasingly more common. A case of a pseudoaneurysm of the abdominal aorta initially treated by implantation of a straight aortic stent-graft is presented. In the 4 months after the procedure, chronic inflammation of the retroperitoneal space caused a further perforation on the posterior wall of the aorta in the area of the bifurcation, distal to the graft. Implantation of a bifurcated stent-graft was subsequently performed. The aneurysm was excluded, with the implant and peripheral arteries remaining patent.
