Complications of Aortography

Kottke, Bruce A.; Fairbairn, John F.; Davis, George D.

doi:10.1161/01.cir.30.6.843

Cited by 55 publications

(9 citation statements)

References 5 publications

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“…Earlier studies reported a high incidence of thrombotic complications following femoral artery puncture [59]. More recently, bleeding problems and pseudoaneurysms outnumber such complications.…”

Section: Thrombosis and Embolismmentioning

confidence: 99%

Percutaneous management of access site complications

Samal

White

2002

Cathet Cardio Intervent

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Percutaneous cardiac catheterization and endovascular procedures are associated with complications at the vascular access site. While surgery has been the traditional treatment for vascular access complications, the current state of the art permits percutaneous management of many access site complications. Surgical repair may be required only when percutaneous methods fail, are not available, or are unsuitable.

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Section: Thrombosis and Embolismmentioning

confidence: 99%

Percutaneous management of access site complications

Samal

White

2002

Cathet Cardio Intervent

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“…Aortography can be associated with distal arterial occlusion in 5.7% of cases after abdominal aortography and 18.2% after thoracic aortography (6). Embolic complications from angiographic procedures mainly involve the lower extremities, and rarely the gastrointestinal tract (0.3–0.7% cases of aortography) (5, 7).…”

Section: Discussionmentioning

confidence: 99%

Acute mesenteric ischemia: a sequela of abdominal aortography

Kedia

Bhatt

Koirala

et al. 2014

Journal of Community Hospital Internal Medicine Perspectives

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The use of abdominal angiography and transcatheter embolization has increased rapidly in the last few decades. Although improvement in angiographic techniques has made the procedure safe, ischemic colitis is a rare but potentially dreadful complication. We report a case of a 51-year-old woman who developed ischemic colitis following aortography, demonstrating that such angiographic studies may produce substantial morbidity.

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“…Previous experience (24,25) has demonstrated that clinical examination alone tends to lead to severe underestimates of the incidence of thrombosis and embolism. For this reason we have employed the more sensitive electrical impedance flow measurement to document bloodflow in the lower limbs.…”

Section: Discussionmentioning

confidence: 99%

Systemic Heparinization During Percutaneous Coronary Angiography: Evaluation of Effectiveness in Decreasing Thrombotic and Embolic Catheter Complications

Luepker¹,

Bouchard²,

Burns³

et al. 1975

Cathet. Cardiovasc. Diagn.

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Systemic heparinization has been advocated as preventive for thrombotic and embolic complications of arterial catheterization. To test this hypothesis, 95 patients undergoing coronary angiography via the percutaneous femoral arterial approach were randomized into heparinized and nonheparinized groups. Evaluation for thrombotic and embolic complications by clinical means and non-invasive electrical impedance flow measurements in the lower limbs was performed precatheterization, postcatherization, and at 4 and 24 hr. Clinical data reveal loss of distal leg pulses in 11% (5/74) of the nonheparinized group, with two of these individuals developing signs of claudication and requiring embolectomy. No individuals (0/48) in the heparinized group lost distal leg pulses. Immediate, 4-hr, and 24-hr post-catheterization bloodflow was 12%, 10%, and 12% lower, respectively, in the catheterized limb of those in the nonheparinized group. At 24 hr 52% of the nonheparinized group had bloodflow levels lower than the precatheterization levels in the right (catheterized) extremity, while 2% (2/48) of the heparinized group had a similar reduction. One possible complication of excess bleeding was noted with heparin. It is concluded that systemic heparinization is safe and can be an important adjunct in the reduction of thromboembolic complications of percutaneous coronary angiography.

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Complications of Aortography

Cited by 55 publications

References 5 publications

Percutaneous management of access site complications

Percutaneous management of access site complications

Acute mesenteric ischemia: a sequela of abdominal aortography

Systemic Heparinization During Percutaneous Coronary Angiography: Evaluation of Effectiveness in Decreasing Thrombotic and Embolic Catheter Complications

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