Endovascular retrieval of a dislodged femoral arterial closure device with Alligator forceps

Doeke Boersma; Marco J van Strijen; Geoffrey T L Kloppenburg; Danyel A F van den Heuvel; Jean-Paul P M de Vries

doi:10.1016/j.jvs.2011.12.015

Endovascular retrieval of a dislodged femoral arterial closure device with Alligator forceps

J Vasc Surg. 2012 Apr;55(4):1150-2. doi: 10.1016/j.jvs.2011.12.015. Epub 2012 Jan 23.

Authors

Doeke Boersma¹, Marco J van Strijen, Geoffrey T L Kloppenburg, Danyel A F van den Heuvel, Jean-Paul P M de Vries

Affiliation

¹ Department of Vascular Surgery, St Antonius Hospital, Nieuwegein, The Netherlands. [email protected]

PMID: 22265797
DOI: 10.1016/j.jvs.2011.12.015

Abstract

The Angio-Seal (St. Jude Medical, Minnetonka, Minn) is a frequently used percutaneous femoral artery closure device to obtain hemostasis after arterial catheterization. Separation and migration of the device, leading to distal embolization and limb-threatening ischemia necessitating emergency surgery, is reported but extremely rare. We present a unique case of successful endovascular bailout management of a dislocated Angio-Seal with use of an Alligator Tooth Retrieval forceps (Cook Medical, London, United Kingdom).

Publication types

Case Reports

MeSH terms

Aged
Angiography, Digital Subtraction / methods
Angioplasty / instrumentation*
Angioplasty / methods
Angioplasty, Balloon, Coronary / adverse effects
Angioplasty, Balloon, Coronary / methods
Coronary Disease / diagnosis
Coronary Disease / therapy
Device Removal / methods
Equipment Failure*
Femoral Artery / diagnostic imaging*
Follow-Up Studies
Hemostatic Techniques / adverse effects
Hemostatic Techniques / instrumentation*
Humans
Ischemia / diagnostic imaging
Ischemia / etiology
Ischemia / therapy*
Leg / blood supply*
Male
Surgical Instruments
Treatment Outcome