Skip to main content
SpringerLink
Log in

Endovascular Treatment of Complications of Femoral Arterial Access

  • Review/State of the Art
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Endovascular repair of femoral arterial access complications is nowadays the treatment of choice in a group of patients who cannot tolerate vascular reconstruction and bleeding due to advanced cardiovascular disease. Endovascular procedures can be performed under local anesthesia, are well tolerated by the patient, and are associated with a short hospitalization time. Ninitinol stent technology allows for safe stent and stent-graft extension at the common femoral artery (CFA) level, due to increased resistance to external compression and bending stress. Active pelvic bleeding can be insidious, and prompt placement of a stent-graft at the site of leakage is a lifesaving procedure. Percutaneous thrombin injection under US guidance is the treatment of choice for femoral pseudoaneurysms (PAs); this can theoretically be safer with simultaneous balloon occlusion across the entry site of a PA without a neck or with a short and wide neck. In a few cases with thrombin failure due to a large arterial defect or accompanying arteriovenous fistula (AVF), a stent-graft can be deployed. The vast majority of catheter-induced AVFs can be treated effectively with stent-graft implantation even if they are located very close to the femoral bifurcation. Obstructive dissection flaps localized in the CFA are usually treated with prolonged balloon inflation; however, in more extensive dissections involving iliac arteries, self-expanding stents should be deployed. Iliofemoral thrombosis can be treated effectively with catheter-directed thrombolysis (CDT) followed by prolonged balloon inflation or stent placement. Balloon angioplasty and CDT can occasionally be used to treat stenoses and occlusions complicating the use of percutaneous closure devices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Samal AK, White CJ (2002) Percutaneous management of access site complications. Catheter Cardiovasc Interv 57:12–23

    Article  PubMed  Google Scholar 

  2. Babu SC, Piccorelli GO, Shah PM, Stein JH, Clauss RH (1989) Incidence and results of arterial complications among 16, 350 patients undergoing cardiac catheterization. J Vasc Surg 10:113–116

    Article  CAS  PubMed  Google Scholar 

  3. Glaser RL, McKellar D, Scher KS (1989) Arteriovenous fistulas after cardiac catheterization. Arch Surg 124:1313–1315

    CAS  PubMed  Google Scholar 

  4. Bourassa MG, Noble J (1976) Complication rate of coronary arteriography: a review of 5,250 cases by a percutaneous femoral technique. Circulation 53:106–114

    CAS  PubMed  Google Scholar 

  5. Muller DWM, Shamir KJ, Ellis SG, Topol EJ (1992) Peripheral vascular complications after conventional and complex percutaneous coronary intervention procedures. Am J Cardiol 69:63–68

    Article  CAS  PubMed  Google Scholar 

  6. Altin RS, Flicker S, Naidech HJ (1989) Pseudoaneurysm and arteriovenous fistula after femoral artery catheterization: association with low femoral punctures. AJR Am J Roentgenol 152:629–631

    CAS  PubMed  Google Scholar 

  7. Kim D, Orron DE, Skillman JJ et al (1992) Role of superficial femoral artery puncture in the development of pseudoaneurysm and arteriovenous fistula complicating percutaneous transfemoral cardiac catheterization. Cathet Cardiovasc Diagn 25:91–97

    Article  CAS  PubMed  Google Scholar 

  8. Davis C, VanRiper S, Longstreet J, Moscucci M (1997) Vascular complications of coronary interventions. Heart Lung 26(2):118–127

    Article  CAS  PubMed  Google Scholar 

  9. Trerotola SO, Kuhlman JE, Fishman EK (1991) CT and anatomic study of postcatheterization hematomas. RadioGraphics 11:247–258

    CAS  PubMed  Google Scholar 

  10. Raphael M, Hartnell G (2001) Femoral artery catheterization and retroperitoneal hematoma formation [Letter]. Clin Radiol 56:933–934

    Article  CAS  PubMed  Google Scholar 

  11. Thore V, Berder V, Houplon P et al (2001) Role of manual compression time and bed rest duration on the occurrence of femoral bleeding complications after sheath retrieval following 4Fr left sided cardiac catheterization. J Interv Cardiol 14(1):7–10

    Article  CAS  PubMed  Google Scholar 

  12. Tagney J, Lackie D (2005) Bed-rest post femoral arterial sheath removal: What is safe practice? A clinical audit. Nurs Crit Care 10(4):167–173

    PubMed  Google Scholar 

  13. Eggebrecht H, Naber C, Woertgen U et al (2003) Percutaneous suture-mediated closure of femoral access sites deployed through the procedure sheath: initial clinical experience with a novel vascular closure device. Cath Cardiovasc Int 58(3):313–321

    Article  Google Scholar 

  14. Imam A, Carter RM, Phillips-Hughes J, Boardman P, Uberoi R (2007) StarClose vascular closure device: prospective study on 222 deployments in an interventional radiology practice. CardioVasc Interv Radiol 30(4):738–742

    Article  Google Scholar 

  15. Maleux G, Hendrickx S, Vaninbroukx J et al (2003) Percutaneous injection of human thrombin to treat iatrogenic femoral pseudoaneurysms: short- and midterm ultrasound follow-up. Eur Radiol 13:209–212

    PubMed  Google Scholar 

  16. Middleton WD, Dasyam A, Teefey SA (2005) Diagnosis and treatment of iatrogenic femoral artery pseudoaneurysms. Ultrasound Q 21:3–17

    PubMed  Google Scholar 

  17. Franklin JA, Brigham D, Borey WM, Powell CS (2003) Treatment of iatrogenic false aneurysms. J Am Coll Surg 197(2):293–301

    Article  PubMed  Google Scholar 

  18. Vazque V, Reus M, Pinero A et al (2005) Human thrombin for treatmentof pseudoaneurysms: comparison of bovine and human thrombin sonogram-guided injection. AJR 184:1665–1671

    Google Scholar 

  19. Batson R, Falterman CJ, Craven J, Kerut EK (2004) How to perform ultrasound-assisted thrombin injection for closure of iatrogenic femoral pseudoaneurysm. Echocardiography 21(3):295–297

    Article  PubMed  Google Scholar 

  20. Koreny M, Riedmuller E, Nikfardjam M et al (2004) Arterial puncture closing devices compared with standard manual compression after cardiac catheterization: systematic review and meta-analysis. JAMA 291:350–357

    Article  CAS  PubMed  Google Scholar 

  21. Simon A, Bumgarner B, Clark K et al (1998) Manual versus mechanical compression for femoral artery hemostasis after cardiac catheterization. Am J Crit Care 7:308–313

    CAS  PubMed  Google Scholar 

  22. Lehmann KG, Heath-Lange SJ, Ferris ST (1999) Randomized comparison of hemostasis techniques after invasive cardiovascular procedures. Am Heart J 138:1118–1125

    Article  CAS  PubMed  Google Scholar 

  23. Schickel SI, Adkisson P, Miracle V et al (1999) Achieving femoral artery hemostasis after cardiac catheterization: a comparison of methods. Am J Crit Care 8:406–409

    CAS  PubMed  Google Scholar 

  24. Oweida SW, Roubin GS, Smith RB, Salam AA (1990) Postcatheterization vascular complications associated with percutaneous transluminal coronary angioplasty. J Vasc Surg 12:310–315

    Article  CAS  PubMed  Google Scholar 

  25. Franco CD, Goldsmith J, Veith F, Calligaro KD, Gupta SK, Wengerter KR (1993) Management of arterial injuries produced by percutaneous femoral procedures. Surgery 113:419–425

    CAS  PubMed  Google Scholar 

  26. McCann RL, Schwartz LB, Pieper KS (1991) Vascular complications of cardiac catheterization. J Vasc Surg 14:375–381

    Article  CAS  PubMed  Google Scholar 

  27. Stricker H, Jacomella V (2004) Stent-assisted angioplasty at the level of the common femoral artery bifurcation: midterm outcomes. J Endovasc Ther 11:281–286

    Article  PubMed  Google Scholar 

  28. Zollikofer CL, Schoch E, Stuckmann G et al (1994) Percutaneous transluminal treatment of stenoses and obstructions in the venous system using vascular endoprostheses (stents). Schweiz Med Wochenschr 124:995–1009; in German

    CAS  PubMed  Google Scholar 

  29. Ruebben A, Tettoni S, Muratore P, Rossato D, Savio D, Rabbia C (1998) Arteriovenous fistulas induced by femoral arterial catheterization: percutaneous treatment. Radiology 209:729–734

    CAS  PubMed  Google Scholar 

  30. Onal B, Kosar S, Gumus T, Ilgit ET, Akpek S (2004) Postcatheterization femoral arteriovenous fistulas: endovascular treatment with stentgrafts. CardioVasc Interv Radiol 27:453–458

    Article  Google Scholar 

  31. Lumsden AB, Miller JM, Kosinski AS et al (1994) A prospective evaluation of surgically treated groin complications following percutaneous cardiac procedures. Am Surg 60:132–137

    CAS  PubMed  Google Scholar 

  32. Morgan R, Belli AM (2003) Current treatment methods for postcatheterization pseudoaneurysms. J Vasc Interv Radiol 14:697–710

    PubMed  Google Scholar 

  33. Toursarkissian B, Allen BT, Petrinec D et al (1997) Spontaneous closure of selected iatrogenic pseudoaneurysms and arteriovenous fistulae. J Vasc Surg 25:803–809

    Article  CAS  PubMed  Google Scholar 

  34. Kent KC, McArdle CR, Kennedy B, Baim DS, Anninos E, Skillman JJ (1993) A prospective study of the clinical outcome of femoral pseudoaneurysms and arteriovenous fistulas induced by arterial puncture. J Vasc Surg 17:125–131

    Article  CAS  PubMed  Google Scholar 

  35. Sheiman RG, Brophy DP (2001) Treatment of iatrogenic femoral pseudoaneurysms with percutaneous thrombin injection:experience in 54 patients. Radiology 219:123–127

    CAS  PubMed  Google Scholar 

  36. Fellmeth BD, Roberts AC, Bookstein JJ et al (1991) Postangiographic femoral artery injuries: nonsurgical repair with US-guided compression. Radiology 178:671–675

    CAS  PubMed  Google Scholar 

  37. Eisenberg L, Paulson EK, Kliewer MA, Hudson MP, DeLong DM, Caroll BA (1999) Sonographically guided compression repair of pseudoaneurysms: further experience from a single institution. AJR Am J Roentgenol 173:1567–1573

    CAS  PubMed  Google Scholar 

  38. Tisi PV, Callam MJ (2009) Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev 15(2):CD004981. Update of: Cochrane Database Syst Rev (2006) (1):CD004981

  39. Quarmby JW, Engelke C, Chitolie A, Morgan RA, Belli AM (2002) Autologous thrombin for treatment of pseudoaneurysms. Lancet 359:946–947

    Article  CAS  PubMed  Google Scholar 

  40. Paulson EK, Nelson RC, Mayes CE et al (2001) Sonographically guided thrombin injection of iatrogenic femoral pseudoaneurysms: further experience of a single institution. AJR Am J Roentgenol 177:309–316

    CAS  PubMed  Google Scholar 

  41. Khoury M, Rebecca A, Greene K et al (2002) Duplex scanning-guided thrombin injection for the treatment of iatrogenic pseudoaneurysms. J Vasc Surg 35:517–521

    Article  PubMed  Google Scholar 

  42. La Perna L, Olin JW, Goines D et al (2000) Ultrasound-guided thrombin injection for the treatment of postcatheterization pseudoaneurysms. Circulation 102:2391–2395

    CAS  PubMed  Google Scholar 

  43. Matson MB, Morgan RA, Belli AM (2001) Percutaneous treatment of pseudoaneurysms using fibrin adhesive. Br J Radiol 74:690–694

    CAS  PubMed  Google Scholar 

  44. Friedman SG, Pellerito JS, Scher L et al (2002) Ultrasound-guided thrombin injection is the treatment of choice for femoral pseudoaneurysms. Arch Surg 137:462–464

    Article  CAS  PubMed  Google Scholar 

  45. Kang SS, Labropoulos N, Mansour A, Baker WH (1998) Percutaneous ultrasound guided thrombin injection: a new method for treating post-catheterization femoral pseudoaneurysms. J Vasc Surg 27:1032–1038

    Article  CAS  PubMed  Google Scholar 

  46. Kruger K, Zahringer M, Sohngen FD et al (2003) Femoral pseudoaneurysms: management with percutaneous thrombin injections—success rates and effects on systemic coagulation. Radiology 226:452–458

    Article  PubMed  Google Scholar 

  47. Lennox A, Griffin M, Nicolaides A, Mansfield A (1998) Regarding Percutaneous ultrasound guided thrombin injection: a new method for treating postcatherization femoral pseudoaneurysms [Letter]. J Vasc Surg 28:1120–1121

    CAS  PubMed  Google Scholar 

  48. Sadiq S, Ibrahim W (2001) Thromboembolism following thrombin injection of femoral artery pseudoaneurysm. J Vasc Interv Radiol 12:633

    Article  CAS  PubMed  Google Scholar 

  49. Loose HW, Haslam PJ (1998) The management of peripheral arterial aneurysms using percutaneous injection of fibrin adhesive. Br J Radiol 71:1255–1259

    CAS  PubMed  Google Scholar 

  50. Owen RJT, Haslam PJ, Elliott ST, Rose JDG, Loose HW (2000) Percutaneous ablation of peripheral pseudoaneurysms using thrombin: a simple and effective solution. CardioVasc Interv Radiol 23:441–446

    Article  CAS  Google Scholar 

  51. Elford J, Burrell C, Freeman S, Roobottom C (2002) Human thrombin injection for the percutaneous treatment of iatrogenic pseudoaneurysms. Cardio Vasc Interv Radiol 25:115–118

    Article  Google Scholar 

  52. Sheiman R, Mastromatteo M (2003) Iatrogenic femoral pseudoaneurysms that are unresponsive to percutaneous thrombin injection: potential causes. AJR 181:1301–1303

    PubMed  Google Scholar 

  53. Sadler JE (1997) Thrombomodulin structure and function. Thromb Haemost 78:392–395

    CAS  PubMed  Google Scholar 

  54. Gruber A, Mori E, del Zoppo GI, Waxman L, Griffin JH (1994) Alteration of fibrin network by activated protein. Blood 83:2541–2548

    CAS  PubMed  Google Scholar 

  55. Thalhammer C, Kirchherr AS, Uhlich F, Waigand J, Gross CM (2000) Postcatheterization pseudoaneurysms and arteriovenous fistulas: repair with percutaneous implantation of endovascular covered stents. Radiology 214:127–131

    CAS  PubMed  Google Scholar 

  56. Baltacioglu F, Cim NC, Cil B, Cekirge S, Ispir S (2003) Endovascular stent-graft applications in iatrogenic vascular injuries. CardioVasc Interv Radiol 26:434–439

    Article  Google Scholar 

  57. Sovik E, Klow NE, Brekke M, Stavnes S (2003) Elective placement of covered stents in native coronary arteries. Acta Radiol 44:294–301

    Article  CAS  PubMed  Google Scholar 

  58. Dolmatch BL, Dong YH, Trerotola SO, Hunter DW, Brennecke LH, LaBounty R (1998) Tissue response to covered Wallstents. J Vasc Interv Radiol 9:471–478

    Article  CAS  PubMed  Google Scholar 

  59. Hussain FM, Kopchok G, Heilbron M, Daskalakis T, Donayre C, White RA (1998) Wallgraft endoprosthesis: initial canine evaluation. Am Surg 64:1002–1006

    CAS  PubMed  Google Scholar 

  60. Walker TG, Geller SC, Brewster SC (1987) Transcatheter occlusion of a profunda femoral artery pseudoaneurysm using thrombin. AJR Am J Roentgenol 149:185–186

    CAS  PubMed  Google Scholar 

  61. Ricci MA, Trevisani GT, Pilcher DB (1994) Vascular complications of cardiac catheterization. Am J Surg 167(4):375–377

    Article  CAS  PubMed  Google Scholar 

  62. Kelm M, Perings SM, Jax T et al (2002) Incidence and clinical outcome of iatrogenic femoral arteriovenous fistulas: implications for risk stratification and treatment. J Am Coll Cardiol 40:291–297

    Article  PubMed  Google Scholar 

  63. Perings SM, Kelm M, Jax T, Strauer BE (2003) A prospective study on incidence and risk factors of arteriovenous fistulae following transfemoral cardiac catheterization. Int J Cardiol 88:223–228

    Article  PubMed  Google Scholar 

  64. Paulson EK, Kliewer MA, Hertzberg BS et al (1995) Ultrasonographically guided manual compression of femoral artery injuries. J Ultrasound Med 14:653–659

    CAS  PubMed  Google Scholar 

  65. Sako Y, Varco RL (1970) Arteriovenous fistula: results of management of congenital and acquired forms, blood flow measurements, and observations on proximal arterial degeneration. Surgery 67:40–61

    CAS  PubMed  Google Scholar 

  66. Shumacker HB Jr (1970) Aneurysm development and degenerative changes in dilated artery proximal to arteriovenous fistula. Surg Gynecol Obstet 130:636–640

    PubMed  Google Scholar 

  67. Kron J, Sutherland D, Rosch J, Morton MJ, McAnulty JH (1985) Arteriovenous fistula: a rare complication of arterial puncture for cardiac catheterization. Am J Cardiol 55:1445–1446

    Article  CAS  PubMed  Google Scholar 

  68. Schaub F, Theiss W, Heinz M, Zagel M, Schömig A (1994) New aspects in ultrasound-guided compression repair of postcatheterization femoral artery injuries. Circulation 90:1861–1865

    CAS  PubMed  Google Scholar 

  69. Lemaire JM, Dondelinger RF (1994) Percutaneous coil embolization of iatrogenic femoral arteriovenous fistula or pseudo-aneurysm. Eur J Radiol 18:96–100

    Article  CAS  PubMed  Google Scholar 

  70. Waigand J, Uhlich F, Gross M, Thalhammer C, Dietz R (1999) Percutaneous treatment of pseudoaneurysms and arteriovenous fistulas after invasive vascular procedures. Catheter Cardiovasc Interv 47:157–164

    Article  CAS  PubMed  Google Scholar 

  71. Samson RH, Sprayregen S, Veith FJ, Scher LA, Gupta SK, Ascer E (1984) Management of angioplasty complications, unsuccessful procedures and early and late failures. Ann Surg 199:234–240

    Article  CAS  PubMed  Google Scholar 

  72. Tsetis DK, Kochiadakis GE, Hatzidakis AA et al (2002) Transcatheter thrombolysis with high-dose bolus tissue plasminogen activator in iatrogenic arterial occlusion after femoral arterial catheterization. CardioVasc Interv Radiol 25:36–41

    Article  Google Scholar 

  73. Youkey JR, Clagett GP, Rich NM et al (1983) Vascular trauma secondary to diagnostic and therapeutic procedures: 1974 through 1982. A comparative review. Am J Surg 146:788–791

    Article  CAS  PubMed  Google Scholar 

  74. Messina LM, Brothers TE, Wakefield TW et al (1991) Clinical characteristics and surgical management of vascular complications in patients undergoing cardiac catheterization: intervional versus diagnostic procedures. J Vasc Surg 13:593–600

    Article  CAS  PubMed  Google Scholar 

  75. Waller DA, Sivananthan UM, Diament RH, Kester RC, Rees MR (1993) Iatrogenic vascular injury following arterial cannulation: the importance of early surgery. Cardiovasc Surg 1:251–253

    CAS  PubMed  Google Scholar 

  76. Onal B, Ilgit ET, Akpek S, Erbas G, Akkaya A (2005) Endovascular treatment of obstructive iliac artery dissections. Acta Radiol 46:359–365

    Article  CAS  PubMed  Google Scholar 

  77. Belli AM (1998) Thrombolysis in the peripheral vascular system. CardioVasc Interv Radiol 21:95–101

    Article  CAS  Google Scholar 

  78. Working Party on Thrombolysis in the Management of Limb Ischaemia (1996) Thrombolysis in the management of limb arterial occlusion: towards a consensus interim report. J Intern Med 240:343–355

    Article  Google Scholar 

  79. Gardiner GA, Meyerovitz MF, Stokes KR, Clouse ME, Harrington DP, Bettmann MA (1986) Complications of transluminal angioplasty. Radiology 159:201–208

    PubMed  Google Scholar 

  80. Braithwaite BD, Buckenham TM, Galland RB, Heather BP, Earnshaw JJ (1997) Prospective randomized trial of high-dose bolus versus low-dose tissue plasminogen activator infusion in the management of acute limb ischaemia. Br J Surg 84:646–650

    Article  CAS  PubMed  Google Scholar 

  81. Meyerovitz MF, Goldhaber Z, Reagan K et al (1990) Recombinant tissue type plasminogen activator versus urokinase in peripheral arterial and graft occlusions: a randomized trial. Radiology 175:75–78

    CAS  PubMed  Google Scholar 

  82. The STILE Investigators (1994) Results of a prospective randomized trial evaluating surgery versus thrombolysis for ischaemia of the lower extremity. The STILE trial. Ann Surg 220:251–268

    Article  Google Scholar 

  83. Starck EE, McDermott JC, Crummy AB, Turnipseed WD, Archer CW, Burgess JH (1985) Percutaneous aspiration thrombectomy. Radiology 156:61–66

    CAS  PubMed  Google Scholar 

  84. Gonze MD, Sternbergh WC, Salartash K, Money SR (1999) Complications associated with percutaneous closure devices. Am J Surg 178:209–211

    Article  CAS  PubMed  Google Scholar 

  85. Goyen M, Manz S, Kroger K, Massalha K, Haude M, Rudofsky G (2000) Intervional therapy of vascular complications caused by the hemostatic puncture closure device Angio-seal. Catheter Cardiovasc Interv 49:142–147

    Article  CAS  PubMed  Google Scholar 

  86. Katsouras CS, Michalis LK, Leontaridis I et al (2004) Treatment of acute lower limb ischemia following the use of the Duett sealing device: report of three cases and review of the literature. CardioVasc Interv Radiol 27(3):268–270

    Article  CAS  Google Scholar 

  87. Silber S, Tofte AJ, Kjellevand TO, Grube E, Gershony G (1999) Final report of the European Multi-Center Registry using the Duett vascular sealing device. Herz 24:620–623

    Article  CAS  PubMed  Google Scholar 

  88. SEAL Trial Study Team (2002) Assessment of the safety and efficacy of the Duett vascular hemostasis device: final results of the safe and effective vascular hemostasis (SEAL) trial. Am Heart J 143:612–619

    Article  Google Scholar 

  89. Jensen J, Saleh N, Jensen U, Svane B, Jönsson A, Tornvall P (2008) The inflammatory response to femoral arterial closure devices: a randomized comparison among FemoStop, AngioSeal, and Perclose. CardioVasc Interv Radiol 31(4):751–755

    Article  Google Scholar 

  90. Michalis LK, Rees MR, Patsouras D et al (2002) A prospective randomized trial comparing the safety and efficacy of three commercially available closure devices (Angioseal, Vasoseal and Duett). Cardio Vasc Interv Radiol 25:423–429

    Article  Google Scholar 

  91. Lim SP, Duddy MJ (2008) Endovascular treatment of a carotid dissecting pseudoaneurysm in a patient with Ehlers-Danlos syndrome type IV with fatal outcome. Cardio Vasc Interv Radiol. 31(1):201–204

    Article  CAS  Google Scholar 

  92. Belenky A, Aranovich D, Greif F, Bachar G, Bartal G, Atar E (2007) Use of a collagen-based device for closure of low brachial artery punctures. Cardio Vasc Interv Radiol 30(2):273–275

    Article  CAS  Google Scholar 

  93. Daliri A, Kalinowski M, Volkmann R, Thon P, Froelich JJ (2008) Femoral neck fracture associated with early ambulation after transfemoral arterial intervention and use of a vascular closure device. CardioVasc Interv Radiol 31(4):833–834

    Article  Google Scholar 

  94. Gemmete JJ, Dasika N, Forauer AR, Cho K, Williams DM (2003) Successful angioplasty of a superficial femoral artery stenosis caused by a suture-mediated closure device. CardioVasc Interv Radiol 26(4):410–412

    Article  Google Scholar 

  95. Kim YJ, Yoon HK, Ko GY, Shin JH, Sung KB (2009) Percutaneous transluminal angioplasty of suture-mediated closure device-related femoral artery stenosis or occlusive disease. Br J Radiol 82:486–490

    Article  PubMed  Google Scholar 

  96. Looby S, Keeling AN, McErlean A, Given MF, Geoghegan T, Lee MJ (2008) Efficacy and safety of the angioseal vascular closure device post antegrade puncture. CardioVasc Interv Radiol 31(3):558–562

    Article  CAS  Google Scholar 

  97. Thurley PD, O’Neill R, Habib S, Whitaker SC (2008) Re: Looby et al.: “Efficacy and safety of the Angioseal vascular closure device post antegrade puncture”. CardioVasc Interv Radiol 31(6):1255–1256

    Article  CAS  Google Scholar 

  98. Steinkamp HJ, Werk M, Beck A, Teichgräber U, Haufe M, Felix R (2001) Excimer laser-assisted recanalisation of femoral arterial stenosis or occlusion caused by the use of Angio-Seal. Eur Radiol 11(8):1364–1370

    Article  CAS  PubMed  Google Scholar 

  99. Lee JH, Biring TS, Gimelli G (2007) Treatment of an Angio-Seal-related vascular complication using the SilverHawk plaque excision system: a case report. Cath Cardiovasc Interv 69(1):141–145

    Article  Google Scholar 

  100. Giansante Abud D, Mounayer C, Saint-Maurice JP, Rezende MT, Houdart E, Moret J (2007) Stent-grafts in the management of hemorrhagic complications related to hemostatic closure devices: report of two cases. CardioVasc Interv Radiol 30(1):104–107

    Article  Google Scholar 

  101. Bent CL, Kyriakides C, Matson M (2008) Femoral artery stenosis following percutaneous closure using a Starclose closure device. CardioVasc Interv Radiol 31(4):814–816

    Article  Google Scholar 

  102. Ratnam LA, Raja J, Munneke GJ, Morgan RA, Belli AM (2007) Prospective nonrandomized trial of manual compression and Angio-Seal and Starclose arterial closure devices in common femoral punctures. CardioVasc Interv Radiol 30(2):182–188

    Article  Google Scholar 

  103. Gonsalves M, Walkden M, Belli AM (2008) Laceration of the common femoral artery following deployment of the starclose vascular closure system. CardioVasc Interv Radiol 31(4):817–820

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, University Hospital of Heraklion, Medical School of Crete, P.O. Box 1352, Stavrakia, 71110, Heraklion, Crete, Greece

    Dimitrios Tsetis

Authors
  1. Dimitrios Tsetis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dimitrios Tsetis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tsetis, D. Endovascular Treatment of Complications of Femoral Arterial Access. Cardiovasc Intervent Radiol 33, 457–468 (2010). https://doi.org/10.1007/s00270-010-9820-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-010-9820-3

Keywords

Search

Navigation