Stent-grafts in the management of hemorrhagic complications related to hemostatic closure devices: report of two cases

Cardiovasc Intervent Radiol. 2007 Jan-Feb;30(1):104-7. doi: 10.1007/s00270-005-0321-8.

Abstract

We report 2 cases of hemorrhagic complications related to use of the Angio-Seal hemostatic closure device that were successfully managed with stent-grafts. Two patients with subarachnoid hemorrhage were referred to our departments for endovascular treatment of ruptured intracranial aneurysms. The treatment was performed through a femoral access; the sheaths were removed immediately after the procedures, and the punctures sites closed by Angio-Seals. Both patients presented clinical signs of hypovolemic shock after treatment. The diagnosis of active bleeding through the puncture site was made by emergency digital subtraction angiography. The lesions were managed with stent-grafts. The use of stent-grafts proved to be efficient in the management of these life-threatening hemorrhagic complications following the use of the Angio-Seal hemostatic closure device.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography, Digital Subtraction / methods
  • Equipment and Supplies / adverse effects*
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / surgery
  • Follow-Up Studies
  • Hemostatic Techniques / adverse effects*
  • Hemostatic Techniques / instrumentation
  • Humans
  • Iliac Artery / diagnostic imaging
  • Iliac Artery / surgery
  • Male
  • Middle Aged
  • Postoperative Hemorrhage / diagnosis
  • Postoperative Hemorrhage / surgery*
  • Punctures / adverse effects
  • Shock / etiology
  • Stents*
  • Treatment Outcome