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Surgery
Emergency autologous vein graft reconstruction after vascular closure device usage and subsequent infection
  1. Jonathon Chon Teng Chio1,
  2. Lauren Gordon2 and
  3. Graham Roche-Nagle2
  1. 1Tulane University School of Medicine, New Orleans, Louisiana, USA
  2. 2Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada
  1. Correspondence to Dr Graham Roche-Nagle; graham.roche-nagle{at}uhn.ca

Abstract

Different techniques and devices can achieve haemostasis after endovascular procedures to reduce time to haemostasis and facilitate percutaneous large-bore access. One such device is the Angio-Seal, which accomplishes haemostasis by compressing a collagen plug against the arteriotomy. Multiple complications related to Angio-Seal exist, most commonly acute artery occlusions and rarely infections and endarteritis. We present a case of an adult male (aged 80–85) who developed a groin haematoma associated with Angio-Seal use. Arterial bypass for arterial reconstruction and intravenous antibiotics were required. This case addresses the associated pathologies of Angio-Seal failure and Angio-Seal infection, patient- and device-specific risk factors and measures to treat and prevent these complications (ANGIO-SEAL VIP Vascular Closure Device—6 Fr Terumo Medical, NJ, USA).

  • Vascular surgery
  • Arteries

https://doi.org/10.1136/bcr-2024-260126

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: JCTC, LG and GR-N. The following authors gave final approval of the manuscript: JCTC, LG and GR-N. Is the patient one of the authors of this manuscript? No.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.