Nitinol clip distal migration and resultant popliteotibial artery occlusion complicating access closure by the StarClose se vascular closure system
- Authors
- Choi, Dae Han; Kim, Myeong Jin; Yoo, Chan Jong; Park, Cheol Wan
- Issue Date
- Mar-2016
- Publisher
- BMJ Publishing Group
- Citation
- BMJ Case Reports, v.2016
- Journal Title
- BMJ Case Reports
- Volume
- 2016
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/8818
- DOI
- 10.1136/bcr-2015-012257
- ISSN
- 1757-790X
- Abstract
- Lower extremity ischemia following deployment of a vascular closure device for access site closure after a transfemoral endovascular procedure rarely occurs. A 68-year-old woman diagnosed with subarachnoid hemorrhage due to a ruptured anterior communicating aneurysm was treated by endovascular coil embolization. The StarClose SE device was deployed for right femoral arteriotomy closure. After 2 days, critical ischemia occurred on her right lower leg due to total occlusion of the popliteo-tibial artery. Emergent surgical embolectomy was performed and the nitinol clip of the StarClose device was captured in the lumen of the tibioperoneal trunk. Although StarClose is an extravascular closure system, intravascular deployment, distal migration, and resultant critical limb ischemia can occur.
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Collections - 의과대학 > 의학과 > 1. Journal Articles
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