Changing Pattern of Access Site Complications with the Use of Percutaneous Closure Devices

Boulos Toursarkissian, Alejandro Mejia, Robert P. Smilanich, Paula K. Shireman, Mellick T. Sykes

Research output: Contribution to journalArticle

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Abstract

The authors report their experience with 15 cases of groin complications associated with the use of percutaneous closure devices following femoral arterial catheterization over a 2-year period. The complication rate was 1.7% for catheterizations in which a closure device was used. The 15 cases included 7 uncomplicated pseudoaneurysms (PSA), 3 infected pseudoaneurysms, 4 nonarterial groin infections (infected hematomas and/or abscesses), and 1 case of femoral artery occlusion. These complications presented at an average of 5 ±4 days postcatheterization. One patient with an infected PSA required a below-the-knee amputation. During the same time interval, there were no infectious complications in patients not receiving closure devices. We conclude that groin complications associated with such devices tend to present late and include a higher percentage of infections as opposed to complications occurring in patients not receiving closure devices. An aggressive surgical approach to these problems appears warranted.

Original languageEnglish (US)
Pages (from-to)203-206
Number of pages4
JournalVascular and Endovascular Surgery
Volume35
Issue number3
DOIs
Publication statusPublished - May 2001

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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