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Erschienen in: Cardiovascular Intervention and Therapeutics 3/2018

28.06.2017 | Original Article

Jetstream atherectomy and balloon angioplasty with distal embolic protection for Angio-Seal related vascular access complications

Erschienen in: Cardiovascular Intervention and Therapeutics | Ausgabe 3/2018

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Abstract

Arteriotomy closure devices (ACDs) are routinely used for vascular closure during invasive cardiovascular procedures. They decrease time to hemostasis as well as length of stay. Major complications such as arterial ischemia and occlusion can be encountered in a minority of patients. We are describing a series of 3 patients with access site closure using Angio-Seal after coronary angiography who developed intermittent claudication within 2–3 weeks of follow-up. Access site thrombosis/stenosis in the CFA was found in all the three cases. They were successfully revascularized using Jetstream atherectomy with embolic protection filter followed by balloon angioplasty. This technique can treat extensive thrombus burden as well as extract the collagen and foot plate of Angio-Seal through atherectomy with cutting blades and thrombectomy via rheolytic macerating aspiration port. All cases had excellent angiographic and clinical results.
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Metadaten
Titel
Jetstream atherectomy and balloon angioplasty with distal embolic protection for Angio-Seal related vascular access complications
Publikationsdatum
28.06.2017
Erschienen in
Cardiovascular Intervention and Therapeutics / Ausgabe 3/2018
Print ISSN: 1868-4300
Elektronische ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-017-0478-5

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