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The purpose of this study is to define the incidence of complications at the arterial
access site after cardiac catheterization. The influence of the arterial access site
on these complications was identified, as were the clinical characteristics of these
problems. A total of 8,797 cardiac catheterizations were performed over the 3-year
period of this study. Diagnostic catheterizations and percutaneous transluminal coronary
angioplasties (PTCAs) were included, and the arterial access site was identified.
Diagnostic catheterizations were performed via the brachial artery (group I, n=3,137)
or the femoral artery (group II, n=4,055). PTCAs were also performed via the brachial
artery (group III, n=32) or the femoral route (group IV, n=1,573). Ninety-five major
vascular complications occurred during the course of this study. The frequency of
complications was higher with brachial artery catheterization when compared with the
femoral route. PTCA was associated with a higher complication rate than diagnostic
studies. Brachial artery complications were primarily arterial thromboses, which were
easily diagnosed and treated. Femoral artery complications were more complicated,
difficult to identify, and associated with significant morbidity.
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References
- Utility of Doppler color flow imaging for identification of femoral arterial complications of cardiac catheterization.Am Heart J. 1989; 117: 623-628
- The “to-and-fro” sign: duplex Doppler evidence of femoral artery pseudoaneurysm.AJR Am J Roentgenol. 1988; 150: 632-634
- Routine surgical management of brachial artery occlusion after cardiac catheterization.Arch surg. 1982; 117: 1066-1071
- Clinical characteristics and surgical management of vascular complications in patients undergoing cardiac catheterization: interventional versus diagnostic procedures.J Vasc Surg. 1991; 13: 593-600
- Incidence and results of arterial complications among 16,350 patients undergoing cardiac catheterization.J Vasc Surg. 1989; 10: 113-116
- Vascular access site complications in the era of complex percutaneous coronary interventions.Circulation. 1990; 82: 510
- Postcatheterization vascular complications associated with percutaneous transluminal coronary angioplasty.J Vasc Surg. 1990; 12: 310-315
- A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty.J Vasc Surg. 1991; 13: 328-336
- Successful conservative management of iatrogenic femoral arterial trauma.Am Vasc Surg. 1992; 6: 45-49
- Spontaneous thrombosis of iatrogenic femoral artery pseudoaneurysms: documentation with color Doppler and two-dimensional ultrasonography.J Vasc Surg. 1991; 14: 24-29
- Vascular complications of cardiac catheterization.J Vasc Surg. 1991; 14: 375-381
- Postangiographic femoral artery injuries: nonsurgical repair with US-guided compression.Radiology. 1991; 178: 671-675
Article info
Footnotes
**Presented at the 20th Annual Meeting of the Society for ClinicalVascular Surgery, Orlando, Florida, March 25–29, 1992.
Identification
Copyright
© 1992 Reed Publishing USA. Published by Elsevier Inc.
