Long Segment Vascular Complication of Limb after the Use of an Angio-Seal Arterial Puncture Closure Device
Ha-Cheol Choi, MD, Ki-Joo Kim, MD, Do-Hyung Kim, MD, Sun-Young Oh, MD and Byoung-Soo Shin, MD, PhD
Department of Neurology, Chonbuk National University Medical School, Research Institute of Clinical Medicine, Jeonju, Korea
ABSTRACT
Background: Due to the increasing number of diagnostic and therapeutic radiologic procedures, arterial closure devices (ACD) are being used more frequently. More specifically, Angio-Seal is an ACD that can cause intra-arterial deposition of collagen, a serious limb threatening complication that rarely occurs. Case Report: A 78-year-old woman had undergone transfemoral cerebral angiography for evaluation of cerebrovascular abnormalities. Twelve hours after the use of an Angio-Seal closure device, she developed a limb threatening complication. After an aspiration thrombectomy, we confirmed a long protrusion of the collagen sponge in the superficial femoral artery and posterior tibial artery, with leakage into the lumen due to high blood pressure. Conclusions: Clinician should be aware of the possible occurrence of limb threatening vascular complications after the use of an Angio-Seal device, especially hypertension, and provide prompt and adequate treatment.
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