缝合血管闭合装置导致股总动脉闭塞：病例报告

Q4 Medicine

Radiology Case Reports Pub Date : 2024-10-30 DOI:10.1016/j.radcr.2024.10.046

Kai Dick David Leung

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引用次数: 0

摘要

血管闭合装置在血管内手术后被广泛使用。与装置相关的股动脉闭塞鲜有报道，治疗策略也未达成共识。本病例报告了一位 43 岁的女士在使用缝合血管闭合器对股总动脉进行紧急子宫动脉栓塞术后出现股总动脉闭塞和急性肢体缺血的病例。手术探查时发现后壁被捕获。患者经手术治疗获得成功。本文讨论了手术干预的观察结果和装置失效的潜在机制。操作人员应注意，尽管缝合血管闭合器的部署过程看似正常，但后壁捕获是导致动脉闭塞的一种机制，年轻患者或血管口径较小的患者应特别注意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Common femoral artery occlusion following suture-mediated vascular closure device: A case report

Vascular closure devices are widely utilized following endovascular procedures. Device-related femoral artery occlusion is rarely reported with no consensus on the treatment strategy. This is a case report of a 43-year-old lady who developed common femoral artery occlusion and acute limb ischemia after an urgent uterine artery embolization with a suture-mediated vascular closure device deployed at the common femoral artery. Posterior wall capture was found on surgical exploration. Patient was treated successfully with surgery. The observations from surgical intervention and potential mechanism of device failure are discussed. Operators should be aware of posterior wall capture as a mechanism of arterial occlusion by suture-mediated vascular closure device despite seemingly normal deployment process, with particular attention to young patients or patients with small vessel caliber.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.