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Research ArticleInterventional

Femoral Artery Complications Associated with the Mynx Closure Device

J.D. Fields, K.C. Liu, D.S. Lee, S.J. Gonda, A. Dogan, S.H. Gultekin, G.M. Nesbit, B.D. Petersen and S.L. Barnwell
American Journal of Neuroradiology October 2010, 31 (9) 1737-1740; DOI: https://doi.org/10.3174/ajnr.A2153
J.D. Fields
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K.C. Liu
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D.S. Lee
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S.J. Gonda
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A. Dogan
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S.H. Gultekin
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G.M. Nesbit
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B.D. Petersen
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S.L. Barnwell
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    Fig 1.

    Intravascular Mynx sealant on femoral arteriography and sonography. A−D, Femoral angiograms in 4 patients with intravascular filling defects performed at 15 days (A), 1 day (B), 6 days (C), and 14 days (D) after placement of the Mynx device. E, Femoral sonography at 3 days after deployment of the Mynx vascular closure device demonstrates a hyperechoic foreign body within the common femoral artery.

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    Fig 2.

    Surgical pathology demonstrating intravascular Mynx sealant. A−D, Light (A and B) and electron (C and D) microscopy confirm the presence of Mynx sealant in a foreign body removed surgically from a patient who had undergone closure with the Mynx device. A, PAS stain (original magnification ×200) of an intravascular foreign body. B, PAS stain (original magnification ×200) of Mynx sealant embedded in paraffin. C, Electron micrograph of Mynx sealant exposed to blood in vitro (original magnification × 14200). D, Electron micrograph of an intravascular foreign body (original magnification × 14200).

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    Fig 3.

    Pseudoaneurysms demonstrated by femoral arteriography and sonography. A and B, Follow-up femoral angiograms at 1 day (A) and 7 days (B) after Mynx deployment demonstrate pseudoaneurysms (arrows) of the common femoral artery. C, Axial arterial sonography performed 2 days after Mynx use shows the true lumen (gray arrow) and pseudoaneurysm (white arrow) of the common femoral artery.

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    Fig 4.

    Plastic model demonstrating intra-arterial Mynx sealant. After the sealant is uncovered, it is advanced along the tract by the white advancer tube (white arrow). If the balloon is not pulled firmly against the arteriotomy site, an inadequate barrier results, and polyethylene sealant may be pushed into the intravascular space (gray arrow).

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American Journal of Neuroradiology: 31 (9)
American Journal of Neuroradiology
Vol. 31, Issue 9
1 Oct 2010
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Femoral Artery Complications Associated with the Mynx Closure Device
J.D. Fields, K.C. Liu, D.S. Lee, S.J. Gonda, A. Dogan, S.H. Gultekin, G.M. Nesbit, B.D. Petersen, S.L. Barnwell
American Journal of Neuroradiology Oct 2010, 31 (9) 1737-1740; DOI: 10.3174/ajnr.A2153

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Femoral Artery Complications Associated with the Mynx Closure Device
J.D. Fields, K.C. Liu, D.S. Lee, S.J. Gonda, A. Dogan, S.H. Gultekin, G.M. Nesbit, B.D. Petersen, S.L. Barnwell
American Journal of Neuroradiology Oct 2010, 31 (9) 1737-1740; DOI: 10.3174/ajnr.A2153
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