Usefulness of duplex ultrasonography to detect collagen sponge misplacement into the arterial lumen during the use of Angio-Seal: A case report.
Masayo SugawaraKatsuyuki HoshinaMayumi ChigiraHirohide SuzukiMasao DaimonToshio TakayamaYoshikazu OnoYutaka YatomiPublished in: SAGE open medical case reports (2021)
A 76-year-old man who had undergone percutaneous coronary intervention suffered intermittent claudication. Duplex ultrasonography revealed superficial femoral artery stenosis with an intraluminal heterogeneous echogenic mass. We suspected that stenosis was caused by the puncture procedure of the Angio-Seal. Open surgery revealed that a collagen sponge that should have been outside the arterial wall was misplaced in the wall with massive granulation, and atherectomy with patchplasty was performed. Vessel deterioration was considered due to several factors, including inappropriate access site, arterial wall calcification, and comorbidities like Behçet's disease. Ultrasonography is a convenient and useful method to evaluate arterial lesions.
Keyphrases
- minimally invasive
- magnetic resonance imaging
- percutaneous coronary intervention
- contrast enhanced
- coronary artery bypass
- single cell
- acute coronary syndrome
- chronic kidney disease
- acute myocardial infarction
- st segment elevation myocardial infarction
- computed tomography
- wound healing
- antiplatelet therapy
- coronary artery bypass grafting
- magnetic resonance
- high intensity
- pulmonary embolism
- st elevation myocardial infarction
- peripheral artery disease