Masson Ravi, Sineri Charles, Cheung Edwin, Reilly John, Landau David, Chen On
Division of Cardiology, Department of Medicine, Stony Brook University Hospital, Stony Brook, NY.
Division of Vascular and Endovascular Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY.
J Vasc Surg Cases Innov Tech. 2025 Jun 4;11(5):101868. doi: 10.1016/j.jvscit.2025.101868. eCollection 2025 Oct.
Permanent vascular closure systems are commonly used for achieving hemostasis after transfemoral percutaneous procedures. However, there exists conflicting data regarding the safety of re-puncturing these devices during subsequent procedures. Because percutaneous procedures have become more prevalent, so have the use of vascular closure devices, emphasizing the need to understand their limitations. The following case report describes a situation where a micropuncture catheter fractured within a closure device during inadvertent repeat device access and the challenges encountered with its retrieval.
永久性血管闭合系统常用于经股动脉介入手术后实现止血。然而，关于在后续手术中重新穿刺这些装置的安全性，存在相互矛盾的数据。由于经皮手术越来越普遍，血管闭合装置的使用也随之增加，这凸显了了解其局限性的必要性。以下病例报告描述了在意外重复进入闭合装置时，一根微穿刺导管在闭合装置内断裂的情况以及取出导管所遇到的挑战。
