98%
921
2 minutes
20
Although iatrogenic pseudoaneurysm is an infrequent complication, it can be life threatening if ruptured. There are several treatment methods for managing this complication. This case report demonstrates a technique using ultrasonography-guided suture-mediated vascular closure devices without angiography to successfully treat iatrogenic superficial femoral pseudoaneurysm following an unintended hemodialysis catheter insertion. In particular, when it is difficult to use a contrast due to a patient's condition as in this case, suture-mediated vascular closure device with ultrasonography guidance can be used as a therapeutic method.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539508 | PMC |
http://dx.doi.org/10.1177/11297298221130895 | DOI Listing |
Ann Thorac Surg
August 2025
Division of Cardiac Surgery, Northwestern University Feinberg School of Medicine and Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, IL. Electronic address:
Background: To examine the outcomes of percutaneous post-closure of large bore femoral arteriovenous extracorporeal membrane oxygenation (VA-ECMO) cannulas compared to traditional open cut down technique.
Methods: Between June 1, 2018 and December 31, 2023, a total of 103 unique consecutive patients underwent VA-ECMO and 89 underwent subsequent decannulation by either open cut down (n=44) or percutaneous (n=45) suture-mediated closure. The primary outcomes of interest were procedural success, vascular complication and wound site infection following decannulation.
J Clin Med
July 2025
Department of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany.
: Left atrial appendage occlusion (LAAO) is a valuable alternative to long-term anticoagulation in patients with atrial fibrillation (AF) and a high bleeding risk. However, effective vascular closure following large-bore venous access remains a clinical challenge, particularly in patients with multiple comorbidities. This study compares two venous closure techniques-Z-sutures and the suture-mediated ProGlide™ device-regarding their safety and efficacy in patients undergoing LAAO.
View Article and Find Full Text PDFJ Cardiovasc Electrophysiol
August 2025
Division of Cardiology, Endeavor Health System - NorthShore University Health System, Glenbrook, Illinois, USA.
Background: Vascular recovery from catheter ablation (CA) has traditionally required a period of leg immobilization which can lead to discomfort and prolonged time to discharge.
Objective: The objective of this study was to compare a strategy of immediate leg mobilization (IM) using suture-mediated closure devices against traditional vascular recovery consisting of figure-of-eight suture and 4 h bed rest (BR) after CA of atrial fibrillation (AF) using large vascular access sheaths for cryoballoon ablation (CBA) and pulsed field ablation (PFA).
Methods: Two hundred subjects were retrospectively analyzed: 100 IM and 100 BR.
Ann Vasc Surg
July 2025
Department of Cardiology, Northern Jiangsu People's Hospital, Yangzhou, China. Electronic address:
Background: Transcatheter aortic valve replacement (TAVR) has become the preferred treatment for high-risk patients with severe aortic stenosis. However, the management of vascular complications associated with large-bore femoral arterial access sheaths remains challenging for clinicians. Traditional manual compression exhibits limited efficacy in homeostasis, while the clinical outcomes of vascular closure devices (VCDs) remain controversial.
View Article and Find Full Text PDFFront Cardiovasc Med
July 2025
Vascular and Endovascular Surgery Division, Department of General Surgery and Surgical Specialties, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
Background: The Perclose ProStyle™/ProGlide™ Suture-Mediated Closure and Repair (SMCR) System is designed to close the common femoral artery (CFA) access during percutaneous endovascular procedures. Instructions for use (IFU) recommend the use of at least two devices, per single access, and the pre-close technique for arterial sheath sizes greater than 8 F. Besides, recent clinical studies suggest that a single ProStyle™/ProGlide™ pre-implantation can safely close percutaneous access for larger diameters.
View Article and Find Full Text PDF