Endovascular Perclose ProGlide complication puncture site, treated successful by cutting balloon dilatation: A case report and literature review.

IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Science Progress Pub Date : 2024-07-01 DOI:10.1177/00368504241278481
Yulong Huang, Xinsheng Xie, Lixin Wang
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Abstract

Perclose ProGlide were created as preferred for puncture site closure of femoral artery. Femoral artery occlusion is one of the serious device-related complications. This report presents a continuous endovascular technique combined with peripheral cutting balloon (PCB) treatment for a case of a 32s woman diagnosed with lower extremity ischaemia caused by right superficial femoral artery (SFA) occlusion following the use of the Perclose ProGlide system in minimally invasive cardiac surgery. During the primary operation, limb ischaemia symptoms were relieved with vessel perfusion and reconstruction after regular balloon dilatation. A secondary operation was conducted 6 weeks later, and the obstructive lesions were recanalised without residual stenosis after PCB dilatation. No vessel-related adverse events such as dissection, rupture or distal embolisation occurred during the perioperative period. The patient recovered uneventfully after the operation, with complete alleviation of symptoms. Follow-up computed tomography angiography 3 month post-operatively revealed an undeformed shape and excellent patency of the right SFA.

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血管内 Perclose ProGlide 穿刺部位并发症,通过切割球囊扩张成功治愈:病例报告和文献综述。
Perclose ProGlide 是用于股动脉穿刺部位闭合的首选产品。股动脉闭塞是与器械相关的严重并发症之一。本报告介绍了在微创心脏手术中使用 Perclose ProGlide 系统后,结合外周切割球囊(PCB)治疗的连续血管内技术,该病例是一名 32 岁女性,因右股浅动脉(SFA)闭塞而被诊断为下肢缺血。在初次手术中,通过常规球囊扩张后的血管灌注和重建,肢体缺血症状得到缓解。6 周后进行了二次手术,阻塞性病变在 PCB 扩张后被重新疏通,没有残余狭窄。围手术期未发生血管相关不良事件,如夹层、破裂或远端栓塞。术后患者恢复顺利,症状完全缓解。术后 3 个月的随访计算机断层扫描血管造影显示,右侧 SFA 的形状未变形,通畅性良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Science Progress
Science Progress Multidisciplinary-Multidisciplinary
CiteScore
3.80
自引率
0.00%
发文量
119
期刊介绍: Science Progress has for over 100 years been a highly regarded review publication in science, technology and medicine. Its objective is to excite the readers'' interest in areas with which they may not be fully familiar but which could facilitate their interest, or even activity, in a cognate field.
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