Iatrogenic Claudication from a Vascular Closure Device after Cardiac Catheterization

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" Iatrogenic Claudication from a Vascular Closure Device after Cardiac Catheterization "
Hermann, Luke; Chow, Evelyn; Duvall, W. Lane

Document Type	:	AL
Record Number	:	934337
Doc. No	:	LA7b41w1fr
Language of Document	:	English
Main Entry	:	Hermann, Luke; Chow, Evelyn; Duvall, W. Lane
Title & Author	:	Iatrogenic Claudication from a Vascular Closure Device after Cardiac Catheterization [Article]\ Hermann, Luke; Chow, Evelyn; Duvall, W. Lane
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	11/5
Date	:	2010
Abstract	:	We report a case of iatrogenic claudication as a result of a misplaced percutaneous arterial closure device (PACD) used to obtain hemostasis after cardiac catheterization. The patient presented one week after his procedure with complaints suggestive of right lower extremity claudication. Computed tomographic angiography demonstrated a near total occlusion of the right common femoral artery from a PACD implemented during the cardiac catheterization. The use of PACD’s to obtain rapid hemostasis is estimated to occur in half of all cardiac catheterizations. Ischemic complications as a result of these devices must be considered when evaluating post procedural patients with extremity complaints. [West J Emerg Med. 2010; 11(5):512-513.]