Chihara Shingo, Matsuo Hideki, Takagi Katsuaki, Arai Shoichirou, Morimatsu Minoru
Department of Surgery, Chikugo City Hospital, Chikugo, Fukuoka, Japan.
Ann Vasc Dis. 2012;5(1):65-8. doi: 10.3400/avd.cr.11.00046. Epub 2012 Jan 31.
Although the Angio-Seal arterial closure device is widely used for preventing bleeding and facilitating early ambulation after arterial puncture, it is also associated with unique complications, such as stenosis, occlusion, or peripheral embolism. We report the first case of a foot ulcer that developed 70 days after an Angio-Seal application. The collagen sponge component accidently positioned itself in the arterial lumen and was not absorbed. A foreign body reaction was observed microscopically. In patients with arteriosclerosis, the Angio-Seal device should be used carefully; post procedural monitoring is necessary after implantation.
尽管血管封堵动脉闭合装置被广泛用于预防动脉穿刺后出血并促进早期活动，但它也会引发诸如狭窄、闭塞或外周栓塞等独特并发症。我们报告首例血管封堵装置应用70天后出现足部溃疡的病例。胶原海绵成分意外位于动脉腔内且未被吸收。显微镜下观察到异物反应。对于动脉硬化患者，应谨慎使用血管封堵装置；植入后需要进行术后监测。
