Abstract
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.
Highlights
Following a global trend, we live in current medicine an age of fast and creative technological evolution, in search of new, more practical solutions that are executed, reduce hospital stay and provide outpatients an early return to their usual activities.The endovascular technique has been progressively setting its foundation, proving to be feasible and effective for the treatment of most surgical vascular diseases, able to offer safety and comfort using a minimally invasive technique
We have used so far 98 devices in 76 patients, with two previous episodes of complications similar to those reported. Efficacy of these mechanisms is confirmed in patients who need massive platelet antiaggregation, achieving efficacious homeostasis in more than 95% of patients, with a rate of hemorrhagic, non-surgical complications lower than 4%
Hemorrhagic complications are the most common, with rates ranging between 5-7.4%, with 1.9% of episodes progressing with infection
Summary
New complications: complications after use of new arterial closure and thrombectomy devices. J Vasc Bras. 2007;6(4):[395-8]
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