Watt Duncan C, Assar Ahmed N, Meyer Felicity J
Norwich Medical School, Norwich, UK.
BMJ Case Rep. 2011 Jun 30;2011:bcr0320114006. doi: 10.1136/bcr.03.2011.4006.
The authors describe two patients who underwent transfemoral endovascular procedures followed by the use of the Angio-seal arterial percutaneous closure device. In the first patient, distal migration of the device occurred with consequent occlusion of the ipsilateral popliteal artery 2 days post procedure. In the second patient, thrombotic occlusion of the femoral artery occurred and the patient presented with acute leg ischaemia 3 weeks post procedure. Surgical removal of the closure device with consequent revascularisation of the affected leg was achieved in both patients. This report aims to alert clinicians to the possibility of device-induced arterial occlusion, dislodgment and their sequelae.
作者描述了两名接受经股动脉血管内手术并随后使用血管封堵动脉经皮闭合装置的患者。在第一名患者中，术后2天装置发生向远端移位，导致同侧腘动脉闭塞。在第二名患者中，股动脉发生血栓形成性闭塞，患者在术后3周出现急性下肢缺血。两名患者均通过手术取出闭合装置，随后受影响的腿部实现了血管再通。本报告旨在提醒临床医生注意装置引起的动脉闭塞、移位及其后遗症的可能性。
