2023 Volume 63 Issue 2 Pages 23-26
Vascular complications associated with vascular closure devices (VCDs) rarely require emergency surgery. An 82-year-old man underwent percutaneous carotid artery stenting for internal carotid artery stenosis using the left common femoral artery as the access site. An Angio-Seal VCD was used for achieving hemostasis at the puncture site but was unsuccessful; therefore, manual compression was performed. On postoperative day 1, the patient developed numbness and paresthesia in the left lower extremity. Angiography and contrast computed tomography showed occlusion of the left common femoral artery, and emergency surgery was performed. Here, we discuss our understanding of this observation.
