BACKGROUND We report two cases of acute femoral artery occlusion following the use of ProGlide in minimally invasive cardiac surgery and insertion of large-bore catheters through the common femoral artery.This will ad...BACKGROUND We report two cases of acute femoral artery occlusion following the use of ProGlide in minimally invasive cardiac surgery and insertion of large-bore catheters through the common femoral artery.This will add to the existing body of literature by highlighting the possible complications associated with the use of ProGlide and reiterate that the use of the sono-guided ProGlide skill will reduce the incidence of these complications.CASE SUMMARY A 78-year-old man underwent minimally invasive cardiac surgery for severe aortic valve stenosis.After the operation,the puncture site of the common femoral artery was closed using ProGlide.The next morning,after regaining consciousness,he complained of pain,motor weakness(grade 2),and coldness in the right lower extremity.A 65-year-old man underwent minimally invasive cardiac surgery for a large secundum atrial septal defect(5 cm×5 cm).After the operation,the puncture site of the common femoral artery was closed using ProGlide.After extubation,the patient complained of paresthesia of the right thigh.Both the patients underwent emergency surgery for acute occlusion of the common femoral artery.CONCLUSION If the sono-guided ProGlide skill is used,complications can be prevented,and ProGlide can be safely used.展开更多
Iatrogenic femoral artery pseudoaneurysm is a common complication of the endovascular procedures.Manual compression and thrombin injection are the conventional techniques to occlude the pseudoaneurysms.However,there a...Iatrogenic femoral artery pseudoaneurysm is a common complication of the endovascular procedures.Manual compression and thrombin injection are the conventional techniques to occlude the pseudoaneurysms.However,there are still some failed cases that applied these treatment options.The aim of the study is to seek a potential and alternative method with ProGlide system to close the pseudoaneurysm.During April 2018 to February 2019,2 patients with iatrogenic pseudoaneurysm of the superficial femoral were treated with the suture-base closure device–ProGlide.After punctured the pseudoaneurysm and placed a 6-F sheath,the guide wire was placed in the right femoral artery via the access of the pseudoaneurysm neck.Then the pseudoaneurysm neck was sutured by ProGlide to occlude the blood supply to the pseudoaneurysm.These 2 patients were cured with no complications and complaints,which revealed that percutaneous suture technique with ProGlide at the neck level of pseudoaneurysm provides a novel method for the management of vascular access pseudoaneurysm,especially in those with a wide and short neck.展开更多
文摘BACKGROUND We report two cases of acute femoral artery occlusion following the use of ProGlide in minimally invasive cardiac surgery and insertion of large-bore catheters through the common femoral artery.This will add to the existing body of literature by highlighting the possible complications associated with the use of ProGlide and reiterate that the use of the sono-guided ProGlide skill will reduce the incidence of these complications.CASE SUMMARY A 78-year-old man underwent minimally invasive cardiac surgery for severe aortic valve stenosis.After the operation,the puncture site of the common femoral artery was closed using ProGlide.The next morning,after regaining consciousness,he complained of pain,motor weakness(grade 2),and coldness in the right lower extremity.A 65-year-old man underwent minimally invasive cardiac surgery for a large secundum atrial septal defect(5 cm×5 cm).After the operation,the puncture site of the common femoral artery was closed using ProGlide.After extubation,the patient complained of paresthesia of the right thigh.Both the patients underwent emergency surgery for acute occlusion of the common femoral artery.CONCLUSION If the sono-guided ProGlide skill is used,complications can be prevented,and ProGlide can be safely used.
文摘Iatrogenic femoral artery pseudoaneurysm is a common complication of the endovascular procedures.Manual compression and thrombin injection are the conventional techniques to occlude the pseudoaneurysms.However,there are still some failed cases that applied these treatment options.The aim of the study is to seek a potential and alternative method with ProGlide system to close the pseudoaneurysm.During April 2018 to February 2019,2 patients with iatrogenic pseudoaneurysm of the superficial femoral were treated with the suture-base closure device–ProGlide.After punctured the pseudoaneurysm and placed a 6-F sheath,the guide wire was placed in the right femoral artery via the access of the pseudoaneurysm neck.Then the pseudoaneurysm neck was sutured by ProGlide to occlude the blood supply to the pseudoaneurysm.These 2 patients were cured with no complications and complaints,which revealed that percutaneous suture technique with ProGlide at the neck level of pseudoaneurysm provides a novel method for the management of vascular access pseudoaneurysm,especially in those with a wide and short neck.
