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Vascular and Endovascular Surgery
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Iatrogenic Limb Ischemia Caused by Angiography Closure Devices

Chris Derham, BSc, MBBS, MRCS

Leeds Vascular Institute, Leeds General Infirmary, Great George Street, Leeds, United Kingdom; cderham{at}doctors.org.uk

John F. Davies, BSc, MBBS, MRCS

Raashid Shahbazi, MBBS, FRCS

Shervanthi Homer-Vanniasinkam, IBSc, MD, FRCSED, FRCS

Leeds Vascular Institute, Leeds General Infirmary, Leeds, United Kingdom

Described are 2 cases of lower limb ischemia that resulted after deployment of 2 different arterial closure devices. One patient presented acutely with lower limb ischemia after an Angio-Seal (St Jude Medical, Minnetonka, Minn) device deployed at the conclusion of cerebral artery aneurysm embolization. The second patient, who underwent angioplasty for aortic recoarctation, presented with claudication 1 week after deployment of the Perclose (Perclose, Redwood City, Calif) device. The use of such devices can result in significant complications, and cardiologists, interventional radiologists, and vascular surgeons are advised to have a high index of suspicion for such complications and work in close conjunction to provide prompt and adequate treatment.

Key Words: arterial puncture closure device • lower limb ischemia • claudication

Vascular and Endovascular Surgery, Vol. 40, No. 6, 492-494 (2007)
DOI: 10.1177/1538574406294075
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