An effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access site
Hemostasis of a large-diameter sheath is sometimes problematic, especially for patients with limited approach sites. Here, we describe an effective and safe endovascular method for hemostasis of the femoral artery via the dorsalis pedis artery. The patient was a 75-year-old man who was performing en...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-07-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X251364131 |
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| author | Hiromi Miwa Naoki Hayakawa Yasuyuki Tsuchida Shinya Ichihara Satoshi Hirano Shunsuke Maruta Kotaro Miyaji Shunichi Kushida |
| author_facet | Hiromi Miwa Naoki Hayakawa Yasuyuki Tsuchida Shinya Ichihara Satoshi Hirano Shunsuke Maruta Kotaro Miyaji Shunichi Kushida |
| author_sort | Hiromi Miwa |
| collection | DOAJ |
| description | Hemostasis of a large-diameter sheath is sometimes problematic, especially for patients with limited approach sites. Here, we describe an effective and safe endovascular method for hemostasis of the femoral artery via the dorsalis pedis artery. The patient was a 75-year-old man who was performing endovascular therapy via the left common femoral artery. A pseudoaneurysm developed, and it was treated via the right common femoral artery. He developed acute coronary syndrome 1 week later, and an intra-aortic balloon pump therapy was inserted via the right femoral artery. Neither radial artery was available, and the right brachial artery was punctured to perform coronary revascularization. When the intra-aortic balloon pump was to be removed, the right dorsal pedis artery was punctured, and hemostasis was achieved without any complications. We conclude that the trans-ankle intervention may be an effective and less invasive technique for percutaneous hemostatic procedures. |
| format | Article |
| id | doaj-art-7ae1a62376f3434da457aa3d8b8b3fa2 |
| institution | Kabale University |
| issn | 2050-313X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj-art-7ae1a62376f3434da457aa3d8b8b3fa22025-08-20T03:33:03ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-07-011310.1177/2050313X251364131An effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access siteHiromi Miwa0Naoki Hayakawa1Yasuyuki Tsuchida2Shinya Ichihara3Satoshi Hirano4Shunsuke Maruta5Kotaro Miyaji6Shunichi Kushida7Department of Cardiovascular Medicine, Asahi General Hospital, Chiba, JapanDepartment of Cardiovascular Medicine, Asahi General Hospital, Chiba, JapanDepartment of Cardiovascular Medicine, Asahi General Hospital, Chiba, JapanDepartment of Cardiovascular Medicine, Asahi General Hospital, Chiba, JapanDepartment of Cardiovascular Medicine, Asahi General Hospital, Chiba, JapanDepartment of Cardiovascular Medicine, Asahi General Hospital, Chiba, JapanDepartment of Cardiovascular Medicine, Asahi General Hospital, Chiba, JapanDepartment of Cardiovascular Medicine, Asahi General Hospital, Chiba, JapanHemostasis of a large-diameter sheath is sometimes problematic, especially for patients with limited approach sites. Here, we describe an effective and safe endovascular method for hemostasis of the femoral artery via the dorsalis pedis artery. The patient was a 75-year-old man who was performing endovascular therapy via the left common femoral artery. A pseudoaneurysm developed, and it was treated via the right common femoral artery. He developed acute coronary syndrome 1 week later, and an intra-aortic balloon pump therapy was inserted via the right femoral artery. Neither radial artery was available, and the right brachial artery was punctured to perform coronary revascularization. When the intra-aortic balloon pump was to be removed, the right dorsal pedis artery was punctured, and hemostasis was achieved without any complications. We conclude that the trans-ankle intervention may be an effective and less invasive technique for percutaneous hemostatic procedures.https://doi.org/10.1177/2050313X251364131 |
| spellingShingle | Hiromi Miwa Naoki Hayakawa Yasuyuki Tsuchida Shinya Ichihara Satoshi Hirano Shunsuke Maruta Kotaro Miyaji Shunichi Kushida An effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access site SAGE Open Medical Case Reports |
| title | An effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access site |
| title_full | An effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access site |
| title_fullStr | An effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access site |
| title_full_unstemmed | An effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access site |
| title_short | An effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access site |
| title_sort | effective method for percutaneous hemostasis of femoral artery by endovascular balloon occlusion via the occluded dorsal pedalis artery approach in a patient with restricted access site |
| url | https://doi.org/10.1177/2050313X251364131 |
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