Huang Yulong, Xie Xinsheng, Wang Lixin
Department of Vascular Surgery, Xiamen Branch of Zhongshan Hospital, Fudan University, Xiamen, China.
Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Sci Prog. 2024 Jul-Sep;107(3):368504241278481. doi: 10.1177/00368504241278481.
Perclose ProGlide were created as preferred for puncture site closure of femoral artery. Femoral artery occlusion is one of the serious device-related complications. This report presents a continuous endovascular technique combined with peripheral cutting balloon (PCB) treatment for a case of a 32s woman diagnosed with lower extremity ischaemia caused by right superficial femoral artery (SFA) occlusion following the use of the Perclose ProGlide system in minimally invasive cardiac surgery. During the primary operation, limb ischaemia symptoms were relieved with vessel perfusion and reconstruction after regular balloon dilatation. A secondary operation was conducted 6 weeks later, and the obstructive lesions were recanalised without residual stenosis after PCB dilatation. No vessel-related adverse events such as dissection, rupture or distal embolisation occurred during the perioperative period. The patient recovered uneventfully after the operation, with complete alleviation of symptoms. Follow-up computed tomography angiography 3 month post-operatively revealed an undeformed shape and excellent patency of the right SFA.
Perclose ProGlide被设计为股动脉穿刺部位闭合的首选产品。股动脉闭塞是严重的与器械相关的并发症之一。本报告介绍了一种连续血管内技术联合外周切割球囊（PCB）治疗一名32岁女性的病例，该女性在微创心脏手术中使用Perclose ProGlide系统后被诊断为右股浅动脉（SFA）闭塞导致下肢缺血。在初次手术期间，通过常规球囊扩张后进行血管灌注和重建，肢体缺血症状得到缓解。6周后进行了二次手术，经PCB扩张后阻塞性病变再通，无残余狭窄。围手术期未发生血管相关不良事件，如夹层、破裂或远端栓塞。患者术后恢复顺利，症状完全缓解。术后3个月的随访计算机断层扫描血管造影显示右SFA形态未变形，通畅性良好。
