Giniyani Larab L, Rana Yesha P, J Hanumanthu Balaram Krishna, Chan Doris, Kwan Tak W
Department of Internal Medicine, Mount Sinai Beth Israel Medical Center, New York, NY 10003, USA.
Department of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USA.
Future Cardiol. 2021 Oct;17(7):1193-1197. doi: 10.2217/fca-2020-0154. Epub 2021 Jan 15.
Vascular closure devices have replaced mechanical compression for closure of femoral access sites after endovascular procedures. We present an 87-year-old male with symptomatic infrarenal aortic aneurysm measuring 4.8 cm presenting for elective endovascular repair of the aortic aneurysm. A Perclose ProGlide Suture-Mediated Closure was used for closure. The closure was complicated by a separation of the ProGlide device resulting in the migration of the footplate to the descending aorta. Correction required snare retrieval via radial access, and the patient recovered without complications. We highlight an important complication of the Perclose ProGlide Suture-Mediated Closure device that is rare but important to know when performing endovascular closures with this device.
血管闭合装置已取代机械压迫用于血管内手术后股动脉穿刺部位的闭合。我们报告一例87岁男性，患有症状性肾下腹主动脉瘤，直径4.8 cm，前来择期行腹主动脉瘤血管内修复术。使用了Perclose ProGlide缝合介导闭合装置进行闭合。闭合过程中出现ProGlide装置分离，导致脚板移位至降主动脉，使闭合过程复杂化。纠正需要通过桡动脉途径用圈套器取出，患者康复且无并发症。我们强调了Perclose ProGlide缝合介导闭合装置的一种重要并发症，这种并发症虽罕见，但在用该装置进行血管内闭合操作时了解它很重要。
