Angiographic follow-up after suture-mediated femoral artery closure.

Brown DB, Crawford ST, Norton PL, Hovsepian DM
J Vasc Interv Radiol. 2002 13 (7): 677-80

PMID: 12119324 · DOI:10.1016/s1051-0443(07)61843-0

PURPOSE - Percutaneous closure devices are used in as many as 30% of all endovascular studies. Despite widespread use of these devices, only limited imaging has been performed after percutaneous closure. In this study, arteriograms of patients who had undergone suture-mediated closure with the Perclose device were reviewed.

MATERIALS AND METHODS - Between June 1998 and November 2001, 31 patients who had previously undergone closure with use of the Perclose device at our institution returned for additional angiographic procedures. Twenty-one patients underwent closure with use of the Perclose device after embolization, including hepatic artery chemoembolization (n = 18), treatment of hypervascular sacral metastases (n = 2), and bronchial artery embolization (n = 1). Nineteen of these patients had thrombocytopenia. Ten patients underwent closure with use of the Perclose device after diagnosis and treatment of peripheral vascular disease.

RESULTS - Of 31 patients, 28 had normal follow-up studies, including one patient who underwent four previous closures. These 28 patients all had normal femoral artery caliber at initial angiography and a platelet count of more than 18,000/mm(3). Two patients with preexisting atherosclerotic change had progression of disease at the puncture site and a third with severe thrombocytopenia developed a small asymptomatic posterolateral pseudoaneurysm.

CONCLUSION - In patients with normal femoral arteries, the long-term effects of closure with use of the Perclose device, even performed multiple times, appears to be minimal.

MeSH Terms (11)

Angiography Embolization, Therapeutic Female Femoral Artery Follow-Up Studies Hemostatic Techniques Humans Male Middle Aged Sutures Thrombocytopenia

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