Femoral Endarteritis as a Complication of Percutaneous Suture Closure Device -A case report-

경피적 혈관봉합술 후 발생한 대퇴동맥 내막염 -1예 보고-

  • Hong, Joon-Hwa (Department of Cardiovascular and Thoracic Surgery, Ajou University Hospital) ;
  • Choi, Jin-Wook (Department of Cardiovascular and Thoracic Surgery, Ajou University Hospital) ;
  • Moon, Jong-Hwan (Department of Cardiovascular and Thoracic Surgery, Ajou University Hospital) ;
  • Soh, Dong-Moon (Department of Cardiovascular and Thoracic Surgery, Ajou University Hospital)
  • 홍준화 (아주대학교 의과대학 부속병원 흉부외과) ;
  • 최진욱 (아주대학교 의과대학 부속병원 흉부외과) ;
  • 문종환 (아주대학교 의과대학 부속병원 흉부외과) ;
  • 소동문 (아주대학교 의과대학 부속병원 흉부외과)
  • Published : 2006.11.05

Abstract

Percutaneous suture closure device is known as relatively safe and convenient tool, which can decrease not only bed rest period of patient but also time consuming effort of manual compression of doctor after femoral artery puncture. However[C1], there are also some reports on complication of its use. We report a 62-year-old male patient who had femoral artery endarteritis[0] with pseudoaneurysm as a complication of percutaneous suture closure device after percutaneous coronary angiography[C2]. He was treated successfully by appropriate antibiotics and vessel reconstruction using autologous saphenous vein patch.

경피적 혈관 봉합기는 혈관 조혈술 및 중재시술 후에 환자와 의사의 불편을 덜 수 있는 비교적 안전하고 간편한 방법으로 알려져 있으나 몇몇 합병증이 보고되고 있다. 본원에서는 경피적 혈관 봉합기를 사용하여 지혈을 받은 후 대퇴동맥 혈관내막염이 발생한 62세 남자 환자를 적절한 항생제 치료 및 자가 대복재정맥을 이용한 혈관 재건술로 성공적으로 치료하였기에 보고하는 바이다.

Keywords

References

  1. Hollis HW Jr, Rehring TF. Femoral endarteritis associated with percutaneous suture closure: new technology, challenging complications. J Vasc Surg 2003;38:83-7 https://doi.org/10.1016/S0741-5214(03)00126-5
  2. Messina LM, Brothers TE, Wakefield TW, et al. Clinical characteristics and surgical management of vascular complications in patients undergoing cardiac catheterization: interventional versus diagnostic procedures. J Vasc Surg 1991;13:593-600 https://doi.org/10.1067/mva.1991.27611
  3. Tsuchikane E, Solomon LW, Fusman B, Jolly N, Kim A, Feldman T. Percutaneous suture closure for management of large French size arterial puncture in aortic valvuloplasty. J Invasive Cardiol 2001;13:592-6
  4. Gerckens U, Cattelaens N, Lampe EG, Grube E. Management of arterial puncture site after catheterization procedures: evaluating a suture-mediated closure device. Am J Cardiol 1999; 83:1658-63 https://doi.org/10.1016/S0002-9149(99)00174-5
  5. Sprouse LR, Botta DM, Hamilton IN. The management of peripheral vascular complications associated with the use of percutaneous suture-mediated closure devices. J Vasc Surg 2001; 33:688-93 https://doi.org/10.1067/mva.2001.112324
  6. Wagner SC, Gonsalves CF, Eschelman DJ, Sullivan KL, Bonn J. Complications of a percutaneous suture-mediated closure device versus manual compression for arteriotomy closure: a casecontrolled study. J Vasc Interv Radiol 2003;14:735-41 https://doi.org/10.1097/01.RVI.0000079982.80153.D9
  7. Tolerico PH, McKendall GR. Femoral endarteritis as a complication of percutaneous coronary intervention. J Invasive Cardiol 2000;12:155-7
  8. Geary K, Landers JT, FioreW, Riggs P. Management of infected femoral closure devices. Cardiovasc Surg 2002;10:161-3 https://doi.org/10.1016/S0967-2109(01)00115-6