Changing patterns of access site complications with the use of percutaneous closure devices. Academic Article uri icon

abstract

  • The authors report their experience with 15 cases of groin complications associated with the use of percutaneous closure devices following femoral arterial catheterization over a 2-year period. The complication rate was 1.7% for catheterizations in which a closure device was used. The 15 cases included 7 uncomplicated pseudoaneurysms (PSA), 3 infected pseudoaneurysms, 4 nonarterial groin infections (infected hematomas and/or abscesses), and 1 case of femoral artery occlusion. These complications presented at an average of 5 +/- 4 days postcatheterization. One patient with an infected PSA required a below-the-knee amputation. During the same time interval, there were no infectious complications in patients not receiving closure devices. We conclude that groin complications associated with such devices tend to present late and include a higher percentage of infections as opposed to complications occurring in patients not receiving closure devices. An aggressive surgical approach to these problems appears warranted.

published proceedings

  • Vasc Surg

altmetric score

  • 3

author list (cited authors)

  • Toursarkissian, B., Mejia, A., Smilanich, R. P., Shireman, P. K., & Sykes, M. T.

citation count

  • 20

complete list of authors

  • Toursarkissian, B||Mejia, A||Smilanich, RP||Shireman, PK||Sykes, MT

publication date

  • May 2001