Massive Penoscrotal Hematoma and Testicular Ischemia from Failed Vascular Closing Device

摘要

Vascular closing devices (VCD) were developed as an alternative to mechanical compression devices for hemostasis at arterial access site after cardiac catheterization (CC). We report a case of expanding penoscrotal hematoma compromising blood flow to ipsi- lateral testicle following a VCD use, an unusual presentation of access site hematoma. The patient was explored emergently and the testicle was salvaged by evacuating the hematoma. This case highlights the importance of early investigation and where indicated, exploration of arterial access site hematomas and reviews the current role of various VCDs and alternative arterial access in CC.