A Case of Lower Ischemia after Percutaneous Vascular Intervention Using Angioseal Closure Device

Abstract

Vascular closure devices have been developed in recent years. Although the safety and efficacy of Angioseal are confirmed, there are some specific problems such as stenosis, occlusion, or peripheral embolism. We report on a case of vascular claudication following use of the Angioseal closure device. A 70-year-old man with arteriosclerosis obliterans and performed stenting to right common iliac artery 13 years ago underwent Carotid Artery Stenting. Angioseal closure device was deployed at end of the procedure, but failed to hemostasis, so we added mechanical compression and succeeded to hemostasis. Three days after the procedure, he developed persistent right groin pain and sensory disturbance with clinical signs of vascular claudication in the right leg. Duplex ultrasound and computed tomography angiography of the right femoral artery showed the worsening of right common femoral artery stenosis. Vascular surgery was performed and anchor of Angioseal device was explanted. The patient had stable post-operative condition.