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血管闭合（StarClose）装置导致内膜突出后股总动脉次全闭塞的Rotarex减容术

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

作者信息

Moysidis Theodoros, Herzenstiel Daniel, Korosoglou Grigorios

机构信息

Vascular Medicine Knappschaftskrankenhaus Dortmund Dortmund Germany.

Cardiology and Vascular Medicine GRN Hospital Eberbach Eberbach Germany.

出版信息

Clin Case Rep. 2025 Aug 14;13(8):e70689. doi: 10.1002/ccr3.70689. eCollection 2025 Aug.

DOI:10.1002/ccr3.70689
PMID:40822604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12354975/
Abstract

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.

摘要

我们报告一例72岁女性患者，该患者在经股动脉途径进行冠状动脉介入治疗3周后出现右下肢静息痛。双功超声和血管造影显示右股总动脉次全闭塞，原因是血管闭合（StarClose）装置导致血管壁突入管腔，该装置在最初的冠状动脉介入治疗期间用于穿刺部位闭合。患者成功接受了8F Rotarex减容术及随后的药物涂层球囊血管成形术，未放置支架。4周后的双功超声显示右下肢直至足背远端动脉呈双相血流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/bfbbdd361429/CCR3-13-e70689-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/0f44d2dd7f80/CCR3-13-e70689-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/508499f90a4b/CCR3-13-e70689-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/338fcecada8d/CCR3-13-e70689-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/bfbbdd361429/CCR3-13-e70689-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/0f44d2dd7f80/CCR3-13-e70689-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/508499f90a4b/CCR3-13-e70689-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/338fcecada8d/CCR3-13-e70689-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fc/12354975/bfbbdd361429/CCR3-13-e70689-g003.jpg

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本文引用的文献

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Vasc Med. 2025 Apr;30(2):170-182. doi: 10.1177/1358863X251323508. Epub 2025 Mar 13.
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Global Algorithm for the Endovascular Treatment of Chronic Femoropopliteal Lesions: An Interdisciplinary Expert Opinion Statement.慢性股腘动脉病变血管内治疗的全球算法：一份跨学科专家意见声明。
JACC Cardiovasc Interv. 2025 Mar 10;18(5):545-557. doi: 10.1016/j.jcin.2024.11.038.
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Collagen-Based Vascular Closure Device Multicenter Italian Experience in Endovascular Aortic Aneurysm Repair Compared With Suture-Mediated Closure Vascular Device.
基于胶原蛋白的血管闭合装置在血管内主动脉瘤修复中的多中心意大利经验：与缝线介导的闭合血管装置对比
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4
2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS 下肢外周动脉疾病管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会的报告。
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