Compression methods after femoral artery puncture

Chen, Hongzhuo; Liang, Wan-Sheng; Yao, Wu-Feng; Liu, Tianxi

doi:10.1097/md.0000000000024506

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…The previous study reported the incidence of pseudoaneurysms in the femoral artery in 4.5% of cases postvenous puncture with palpation (blind) method and in 2.6% of cases postultrasound-guided puncture. 6, 7 The formation of pseudoaneurysm…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic pseudoaneurysm as a complication of hemodialysis vascular access: a descriptive study

2022

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Introduction: Iatrogenic pseudoaneurysm (PSA) in hemodialysis vascular access puncture site is the most common complication in a patient with ERSD, which needs urgent surgical intervention. This research explained the patients’ characteristics with pseudoaneurysm in vascular access that underwent surgical intervention immediately. Methods: Retrospectively, it reported cases of pseudoaneurysm that underwent immediate surgical intervention in an operating theatre in the emergency department of RS Dr. Soetomo Surabaya. Result: Twenty-one patients, whose age range from 26-to 64 years old (mean 46.57 + 12.14 years), have undergone immediate surgical and vascular intervention in an operating theater in the emergency department of RS Dr. Soetomo from 2017 until March 2021. The site of pseudoaneurysm varies from cubiti (90.4%), with signs and symptoms of impending rupture (57.1%), rupture (28.6%), and infected pseudoaneurysm (14.3%). Surgical management such as arterial repair was conducted in 90.4% of cases, and two patients (9.6%) unfortunately underwent takedown AVF. It was found from all 21 cases that nine cases didn’t have vascular access as recommended, leading to repetitive puncture in the same puncture site. Conclusion: Iatrogenic Pseudoaneurysm in ESRD patients on regular hemodialysis is the most common complication that has been treated. The medical staff’s knowledge about recognition and prevention is a crucial factor in controlling this complication

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Section: Discussionmentioning

confidence: 99%

Iatrogenic pseudoaneurysm as a complication of hemodialysis vascular access: a descriptive study

2022

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“…2 However, complications including hematomas, entrapment, thrombosis, arteriovenous fistulas, and pseudoaneurysms still occur when using CFA. 3 Puncture site injuries, although rare, can cause serious sequelae and may even lead to death. 4 In 2017, Kiemeneij 5 completed the world's first percutaneous coronary intervention (PCI) via left distal transradial access (dTRA).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Distal Transradial and Femoral Access in Endovascular Treatment of Non-coronary Arterial Disease

et al. 2023

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This study compared the efficacy and safety of distal transradial access (dTRA) and common femoral artery access (CFA) for endovascular treatment of non-coronary arterial disease. 102 interventions were divided into dTRA ( n = 51) and CFA ( n = 51) groups; the puncture success rate was 100% in both groups. The mean number of punctures and puncture time were greater in the dTRA than CFA group (1.86 vs 1.04 and 3.96 vs ≤1.00 min, p < .001 for both), whereas the access-related complication rate was comparable. The surgical success rate was higher in the CFA than dTRA group (98.0 vs 84.3, p = .036), and the operative time was longer in the dTRA than CFA group (99.09 vs 84.10 min, p = .017). The postoperative adverse event rate was not different between the dTRA and CFA groups. dTRA is a safe and feasible access for non-coronary arterial disease and is comparable to CFA in terms of puncture success, access-related complications, and major adverse events. The dTRA is inferior to CFA in the treatment of lower extremity arterial disease. Due to the increase in the operation time and the contrast medium volume in the dTRA, it is necessary to be vigilant about contrast nephropathy and late radiological random side effects.

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“…Among the different routes for interventional procedures, femoral artery puncture is commonly the preferred due to its high success rate, thick and straight structure, and relative stability, compared to the radial artery puncture which is less invasive but more prone to spasm and rupture (Chen et al 2021). The percutaneous puncture of the common femoral artery is widely used across various medical fields, including vascular surgery, cardiology, interventional radiology, and neuroradiology (Uhl et al 2022).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Postoperative Puncture Site Bleeding after Interventional Treatment of Cerebrovascular Disease via Common Femoral Artery Puncture: A Retrospective Analysis of 710 Cases

Yang

Qin

et al. 2023

Tohoku J. Exp. Med.

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This study aimed to identify the risk factors associated with puncture site bleeding following percutaneous puncture of the common femoral artery during interventional treatment of cerebrovascular disease (CVD). A retrospective analysis was conducted on 710 patients who underwent interventional treatment for CVD via femoral artery puncture. Among them, 26 individuals (3.66%) experienced bleeding at the femoral artery puncture site. Binary logistic regression analysis was performed to identify risk factors for puncture site bleeding. The impact of sandbag compression on postoperative bleeding was evaluated in patients with intermediate to high bleeding risk scores. The bleeding group showed higher blood pressure, lower platelet counts, longer prothrombin time and activated partial thromboplastin time, as well as a higher prevalence of larger sheath sizes and variations in the timing of anticoagulant and antiplatelet therapy administration. The bleeding risk score was higher in the bleeding group, indicating its predictive value for bleeding risk.Higher bleeding risk score, unstable blood pressure, repeated puncture, and serious vascular conditions were significant risk factors for puncture site bleeding. Application of sandbag compression for a duration of 2 hours reduced postoperative puncture site bleeding in patients with intermediate to high bleeding risk scores. Our study identified several significant risk factors for puncture site bleeding after cerebral vascular intervention via femoral artery puncture, including the bleeding risk score, blood pressure, repeated puncture, and vascular conditions. Implementing sandbag compression as a preventive measure can help mitigate bleeding complications in these highrisk patients.

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Compression methods after femoral artery puncture

Cited by 5 publications

References 18 publications

Iatrogenic pseudoaneurysm as a complication of hemodialysis vascular access: a descriptive study

Iatrogenic pseudoaneurysm as a complication of hemodialysis vascular access: a descriptive study

Comparison of Distal Transradial and Femoral Access in Endovascular Treatment of Non-coronary Arterial Disease

Risk Factors for Postoperative Puncture Site Bleeding after Interventional Treatment of Cerebrovascular Disease via Common Femoral Artery Puncture: A Retrospective Analysis of 710 Cases

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