Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492007000400015
Jornal Vascular Brasileiro
Case Report

Novas tecnologias, novas complicações: complicações após uso de novos dispositivos de selamento e de trombectomia arterial

New technologies, new complications: complications after use of new arterial closure and thrombectomy devices

Marcelo Ferreira; Marcelo Monteiro; Giafar Abuhadba; Luiz Lanziotti; Luis Fernando Capotorto

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Resumo

Relatamos aqui um caso singular de complicação isquêmica, e também traumática, referente ao uso de dois novos dispositivos para utilização endovascular, ambos no mesmo paciente. Um é um dispositivo hemostático para selamento de punção (Angio-Seal®; - St. Jude Medical) e o outro, um cateter para trombectomia rotacional aspirativa percutânea (Rotarex®; - Straub Medical). Discutimos a indicação destes dispositivos em pacientes gravemente enfermos, com quadro de instabilidade hemodinâmica ou em estado de hipercoagulabilidade, associado à doença aterosclerótica femoral, por seu elevado potencial de complicações.

Palavras-chave

Isquemia, doença arterial oclusiva, angioplastia, trombectomia

Abstract

We describe a singular case of both ischemic and traumatic complication, referring to use of new devices used for endovascular approach, in the same patient. One is a hemostatic closure device (Angio-Seal®; - St. Jude Medical) and the other is a catheter for percutaneous rotational and aspiration thrombectomy (Rotarex®; - Straub Medical). We discuss indication to use these devices in severely ill patients, with hemodynamic instability, or in a state of hypercoagulability, associated with femoral atherosclerotic disease, due to its high potential of complications.

Keywords

Ischemia, arterial occlusive disease, angioplasty, thrombectomy

References

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Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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