Off-label use of Angio-Seal vascular closure device for the repair of femoral pseudoaneurysm after transfemoral coronary intervention Yusuke Watanabe,

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Presentation transcript:

Off-label use of Angio-Seal vascular closure device for the repair of femoral pseudoaneurysm after transfemoral coronary intervention Yusuke Watanabe, MD, Koji Hozawa, MD, Hisaaki Ishiguro, MD, PhD, Sunao Nakamura, MD, PhD Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 1, Pages 38-40 (March 2019) DOI: 10.1016/j.jvscit.2018.10.001 Copyright © 2018 Terms and Conditions

Fig 1 A, Three-dimensional computed tomography angiography (3D-CTA). The arrow indicates the pseudoaneurysm. B, Initial angiography. The arrow indicates the pseudoaneurysm. C, Balloon tamponade was attempted for hemostasis. D, Angiography after balloon tamponade. Hemostasis was not achieved. E, Direct puncture to the pseudoaneurysm. The arrow indicates the puncture needle. F, The 0.014-inch guidewire was crossed from the neck of the pseudoaneurysm to the left common femoral artery (CFA). G, Angiography after deployment of the Angio-Seal collagen plug. The circle indicates complete hemostasis. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 38-40DOI: (10.1016/j.jvscit.2018.10.001) Copyright © 2018 Terms and Conditions

Fig 2 A, Vascular ultrasound findings the day after hemostasis. The circle indicates the collagen plug of Angio-Seal at the wall of the left common femoral artery (CFA). B, Three-dimensional computed tomography angiography (3D-CTA) after 8 months. The circle indicates no evidence of recurrence. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 38-40DOI: (10.1016/j.jvscit.2018.10.001) Copyright © 2018 Terms and Conditions