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EVAR 34705 ? 34808 ? 35226

Date: Feb 5, 2024

Question:

The right common femoral artery had pulsatile bleeding following deployment of both Perclose devices. A third Perclose device was deployed, however, the patient continued to have pulsatile bleeding from the access site. The 16 French sheath was then replaced into the common femoral artery for hemostasis. A 10 blade was then used to make a incision overlying the sheath access. Electrocautery was used to dissect through the subcutaneous tissue and the proximal common femoral and distal common femoral artery to the access site were dissected out and encircled in Vesseloops. The sheath was then removed and the Vesseloops were used for hemostasis. The arteriotomy was freshened with Potts scissors. Using multiple interrupted 5-0 Prolene suture the arteriotomy was then closed. A microcatheter was then placed through the Kumpe catheter into the primary trunk of the right internal iliac artery. 20 mm x 60 mm framing coils were then deployed into the trunk of the right internal iliac artery. This was then followed by four 8 mm x 60 mm filling coils.

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