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Case Reports
. 2016 Dec;25(4):266-270.
doi: 10.1055/s-0034-1382100. Epub 2014 Jul 4.

Novel Technique to Treat Common Femoral Artery Pseudoaneurysm using Angio-Seal Closure Device

Jon Robken  1 , Nicolas W Shammas  2
Affiliations
Case Reports

Novel Technique to Treat Common Femoral Artery Pseudoaneurysm using Angio-Seal Closure Device

Jon Robken et al. Int J Angiol. 2016 Dec.

Abstract

Iatrogenic common femoral artery pseudoaneurysm is a well-described vascular access complication. Several methods have been proposed to treat these pseudoaneurysms. In this report, we present three cases of successful pseudoaneurysm closure using a novel method of retrograde pseudoaneurysm access and thrombosis with Angio-Seal (St Jude Medical, St Paul, MN) closure device. This technique appears safe, effective, and reduces patient discomfort.

Keywords: Angio-Seal; common femoral artery; pseudoaneurysm; retrograde access.

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Conflict of interest statement

Disclosure Dr. Robken has no disclosures. Dr. Shammas received educational grants from St. Jude Medical Inc. to the Midwest Cardiovascular Research Foundation; www.mcrfmd.com. This study was supported in part by the Nicolas and Gail Shammas fund at the Midwest Cardiovascular Research Foundation.

Figures

Fig. 1
Fig. 1
(A) Pseudoaneurysm seen on duplex ultrasound and (B) angiography (arrow); (C) 5F sheath advanced through the neck of the pseudoaneurysm (white arrow) over the 0.014 inch Whisper wire (black arrow); (D) 0.014 inch wire exchanged with 0.034 inch Wholey wire (white arrow) through the 5F sheath.
Fig. 2
Fig. 2
An 8-F Angio-Seal catheter placed over the wire and deployed with anchor against neck of pseudoaneurysm (white arrow). A 0.014 inch wire placed from contralateral sheath is still seen in pseudoaneurysm before being pulled out.
Fig. 3
Fig. 3
(A) Micropuncture needle seen through the neck of the pseudoaneurysm; (B) a 5F sheath advanced through the neck of the pseudoaneurysm over the 0.014 inch Whisper wire; (C) an 8-F Angio-Seal catheter advanced through the neck of the pseudoaneurysm; (D) angiogram post closure of the pseudoaneurysm.
Fig. 4
Fig. 4
(A) Pseudoaneurysm seen on angiogram of the right common femoral artery (white arrow); (B) Micropuncture needle seen through the neck of the pseudoaneurysm (white arrow); (C) An 8-F Angio-Seal catheter (small white arrows) postdeployment of the Angio-Seal; (D) Angiogram postclosure of the pseudoaneurysm.
See this image and copyright information in PMC

References

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