Abstract

1. Abstract
Trans-femoral catheterization is a relative safe, minimally invasive procedure to assess coronary arteries and limb ischemia and the use of vascular closing devices (VCD) has significantly reduce the complication rates associated with percutaneous access as compared to manual compression and decreasing the length of recovery and resumption of daily activity. However, rare complications can still arise associated with this innovative device that can that can induce significant morbidity. We report a case that underwent bilateral trans-femoral percutaneous access approaches after a percutaneous coronary intervention that resulted into two subsequent complications on each side, and requiring bilateral groin explorations. Complications from VCD should be treated and managed promptly to prevent limb ischemia or limb loss.