Miwa Hiromi, Hayakawa Naoki, Tsuchida Yasuyuki, Ichihara Shinya, Hirano Satoshi, Maruta Shunsuke, Miyaji Kotaro, Kushida Shunichi
Department of Cardiovascular Medicine, Asahi General Hospital, Chiba, Japan.
SAGE Open Med Case Rep. 2025 Aug 2;13:2050313X251364131. doi: 10.1177/2050313X251364131. eCollection 2025.
Hemostasis of a large-diameter sheath is sometimes problematic, especially for patients with limited approach sites. Here, we describe an effective and safe endovascular method for hemostasis of the femoral artery via the dorsalis pedis artery. The patient was a 75-year-old man who was performing endovascular therapy via the left common femoral artery. A pseudoaneurysm developed, and it was treated via the right common femoral artery. He developed acute coronary syndrome 1 week later, and an intra-aortic balloon pump therapy was inserted via the right femoral artery. Neither radial artery was available, and the right brachial artery was punctured to perform coronary revascularization. When the intra-aortic balloon pump was to be removed, the right dorsal pedis artery was punctured, and hemostasis was achieved without any complications. We conclude that the trans-ankle intervention may be an effective and less invasive technique for percutaneous hemostatic procedures.
大口径鞘管的止血有时会出现问题，尤其是对于入路部位有限的患者。在此，我们描述一种通过足背动脉对股动脉进行止血的有效且安全的血管内方法。该患者为一名75岁男性，正在通过左股总动脉进行血管内治疗。出现了一个假性动脉瘤，并通过右股总动脉进行了治疗。1周后他发生了急性冠状动脉综合征，并通过右股动脉插入了主动脉内球囊泵治疗。双侧桡动脉均不可用，于是穿刺右肱动脉进行冠状动脉血运重建。当要移除主动脉内球囊泵时，穿刺了右足背动脉，止血成功且未出现任何并发症。我们得出结论，经踝关节介入可能是一种用于经皮止血操作的有效且侵入性较小的技术。
