Page 77 - Virtual Vascular Vol 5

Diagrammatic representation of a correctly applied closure device with involvement of
Percutaneous closure devices are used to close the arteriotomy after the front wall of the artery closing the arteriotomy.

endovascular procedures without the need for an open cut down for access.
Sometimes iatrogenic injury may occur. This patient presented with acute ischaemia

of the left leg after a closure device was used for the left common femoral artery. The
CT angiogram showed a severe narrowing.

Iatrogenic Injury

Front wall

Lumen

Back wall

Incorrectly applied closure device with involvement of the back wall of the artery causing
a severe stenosis.

Front wall
Severe

stenosis in the Lumen

left common

femoral artery Back wall

after use of

closure device 77