Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2022; 10(35): 13052-13057
Published online Dec 16, 2022. doi: 10.12998/wjcc.v10.i35.13052
Acute limb ischemia after minimally invasive cardiac surgery using the ProGlide: A case series
Jonggeun Lee, Up Huh, Seunghwan Song, Chung Won Lee
Jonggeun Lee, Up Huh, Seunghwan Song, Chung Won Lee, Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, South Korea
Author contributions: Lee J, Huh U, and Song S contributed to subject assessment; Lee J, Huh U, Song S, and Lee CW contributed to drafting of the manuscript and data interpretation; Lee J, Huh U, Song S, and Lee CW contributed to study conception, design, and supervision; All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient and her family for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Up Huh, MD, PhD, Assistant Professor, Surgeon, Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University Hospital, No. 179 Gudeok-Ro, Seo-Gu, Busan 49241, South Korea. tymfoo82@gmail.com
Received: August 30, 2022
Peer-review started: August 30, 2022
First decision: October 12, 2022
Revised: October 12, 2022
Accepted: November 17, 2022
Article in press: November 17, 2022
Published online: December 16, 2022
Processing time: 105 Days and 20.9 Hours
Abstract
BACKGROUND

We report two cases of acute femoral artery occlusion following the use of ProGlide in minimally invasive cardiac surgery and insertion of large-bore catheters through the common femoral artery. This will add to the existing body of literature by highlighting the possible complications associated with the use of ProGlide and reiterate that the use of the sono-guided ProGlide skill will reduce the incidence of these complications.

CASE SUMMARY

A 78-year-old man underwent minimally invasive cardiac surgery for severe aortic valve stenosis. After the operation, the puncture site of the common femoral artery was closed using ProGlide. The next morning, after regaining consciousness, he complained of pain, motor weakness (grade 2), and coldness in the right lower extremity. A 65-year-old man underwent minimally invasive cardiac surgery for a large secundum atrial septal defect (5 cm × 5 cm). After the operation, the puncture site of the common femoral artery was closed using ProGlide. After extubation, the patient complained of paresthesia of the right thigh. Both the patients underwent emergency surgery for acute occlusion of the common femoral artery.

CONCLUSION

If the sono-guided ProGlide skill is used, complications can be prevented, and ProGlide can be safely used.

Keywords: ProGlide, Acute common femoral artery occlusion, Minimal invasive cardiac surgery, Sono-guided, Femoral artery stenosis, Case report

Core Tip: Sono-guided ProGlide skill is advocated for use during cardiopulmonary bypass to avoid the complication of femoral artery occlusion and stenosis associated with its use by standard techniques.