Infection is an unusual but serious complication of a femoral artery catheterization site closure device |
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Authors: | Cherr G S Travis J A Ligush J Plonk G Hansen K J Braden G Geary R L |
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Institution: | (1) Department of General Surgery, Section on Vascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, US;(2) Department of Internal Medicine, Section on Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, US |
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Abstract: | Percutaneous devices have been developed to close the femoral artery puncture site after catheterization. Because direct compression
is not needed, the devices save time for the treating health-care provider, reduce patient discomfort, and obviate the need
for post-catheterization bed rest. Reported complications with use of these devices are similar in nature and frequency to
those accompanying direct compression. Complications of infection requiring surgical treatment are exceedingly rare with use
of these devices. We describe a series of five catheterization site infections occurring among 1807 patients (0.3%) whose
femoral artery puncture was closed with a percutaneous suture closure device. All patients required operative intervention
and there was one late death. Physicians should be aware of this uncommon but serious complication to expedite evaluation
and treatment of patients with suspected infections from these devices. |
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