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A total of 122 catheterizations were performed in105 patients with femoral grafts.
Ninety-five femoral grafts were punctured. The mean follow-up time was 21 months.
Sixty-one patients had follow-up duplex ultrasounds of the graft puncture site at
6 months. The complication rates for patients with direct graft puncture were comparable
to those of patients without grafts undergoing femoral catheter arteriography. Twenty-seven
cases with femoral grafts had arteriography using the transaxillary technique. The
overall complication rate for the 95 cases with graft puncture was 12% (8% were minor
complications) in contrast to 30% (22% were major complications) for the 27 cases
with the transaxillary approach. The local, nervous system, and major complication
rates were all significantly less in patients with graft puncture than in patients
with the transaxillary approach. There was no evidence of early or late pseudoaneurysm
formation, disruption of the suture line, or late graft infection in patients with
graft puncture.
Direct graft puncture arteriography is safe andpreferable to the transaxillary approach.
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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.
