Rotarex Debulking in a Subtotal Occlusion of the Common Femoral Artery After Intimal Protrusion Caused by a Vascular Closure (StarClose) Device.

We present a case of a 72-year-old female patient who presented with resting pain in her right limb 3 weeks after coronary intervention via femoral access. Duplex sonography and angiography revealed subtotal occlusion of the right common femoral artery, due to vessel wall protrusion into the lumen, caused by the vascular closure (StarClose) device, which was used for puncture site closure during the initial coronary intervention. The patient was successfully treated with 8F Rotarex debulking and subsequent drug-coated balloon angioplasty without stent placement. Duplex sonography after 4 weeks showed biphasic flow in the right limb down to the distal pedal arteries.