Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery

Erol, Fatih Serhat; Arslan, Şakir; Yüksel, İsa Öner; Üreyen, Çağın Mustafa; Serdar, Serkan; İnci, Sinan; Senocak, Huseyin

doi:10.5543/tkda.2015.30356

Cited by 8 publications

(8 citation statements)

References 7 publications

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“…The patient who developed pseudoaneurysm, a severe vascular complication, also presented murmur at the puncture site from the time he was released from limb immobilisation and experienced significant pain at the puncture site, along with the presence of pulsatile mass, showing that the clinical signs of this complication presented by this patient in the study confirm the clinical findings described in the literature (Erol et al, ; Stone, Campbell, & AbuRahma, ).…”

Section: Discussionsupporting

confidence: 84%

Decreasing length of limb immobilisation following nonelective transfemoral percutaneous coronary intervention: A randomised clinical trial

Santos

Melo

Assis

et al. 2019

Journal of Clinical Nursing

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Aims and objectives:To assess the intensity and frequency of pain, use of analgesic drugs, and the incidence of paraesthesia, urinary retention and vascular complications upon decreasing affected limb immobilisation from 4-2 hrs after sheath removal in patients submitted to transfemoral percutaneous coronary intervention (PCI).Background: After sheath removal from the femoral artery following urgent or emergency PCI, patients are maintained with limb immobilisation for a mean period of 4 hr. Design:Randomised clinical trial (RCT) based on the CONSORT guidelines. Method: Randomised clinical trial was performed in patients with Acute CoronarySyndrome submitted to transfemoral PCI. The intervention group was submitted to a supine position with the head of the bed elevated (30-degree angle) with affected limb immobilisation for 2 hr after sheath removal and the control group for 4 hrs. The outcomes were pain complaints, need for analgesic drugs, incidence of paraesthesia, urinary retention and vascular complications. The outcomes were assessed immediately, 6, 12 and 24 hr after release from limb immobilisation before the patients were released from bed rest. Results:A total of 150 patients (75 in each group) participated in the study. No significant differences in outcomes were observed between the groups, except in relation to the haematoma formation that was higher in the intervention group. Conclusion:A reduced length of limb immobilisation after sheath removal following PCI does not change the frequency and intensity of pain, need of analgesic drugs, urinary retention and paraesthesia. The incidence of haematoma was higher in the intervention group, without significant clinical manifestations. | 3141 SANTOS eT Al.

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Section: Discussionsupporting

confidence: 84%

Decreasing length of limb immobilisation following nonelective transfemoral percutaneous coronary intervention: A randomised clinical trial

Santos

Melo

Assis

et al. 2019

Journal of Clinical Nursing

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“…Clinical characteristics such as history of hypertension, history of diabetes mellitus, peripheral vascular disease, and renal failure were concluded as associated factors with groin complications development post CCP [6, 11, 26, 27]. The hypertension was reported as risk factor for FAP development post CCP [26, 27]. In addition, the renal dysfunction was associated factor with FAP development post CCP [27].…”

Section: Introductionmentioning

confidence: 99%

“…The hypertension was reported as risk factor for FAP development post CCP [26, 27]. In addition, the renal dysfunction was associated factor with FAP development post CCP [27]. Further, patients who had type one diabetes mellitus were prone to groin complications development post CCP [14].…”

Section: Introductionmentioning

confidence: 99%

Incidence and predictors of groin complications early after coronary artery intervention: a prospective observational study

AL-Momani

AbuRuz

2019

BMC Nurs

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Background Coronary artery disease remains the most common single cause of death worldwide. Percutaneous coronary intervention is an appropriate management for coronary artery disease which is not free from its potential complications. The purpose of this study was to determine the incidence rate and the predictors of groin complications post percutaneous coronary intervention in cardiac catheterization laboratories in Jordan. Methods This was a prospective observational study with a consecutive sample of 300 patients post percutaneous coronary intervention procedure. Data were collected from the cardiac health care center using a pre-structured observational sheet. Any groin complication developed within the first 24 h post procedure was recorded. All correlated variables were analyzed using logistic regression. Results The sample included 237 (79%) men and 63 (21%) women with a mean age of 57.46 ± 10.51 years. A total of 114 patients (38%) developed one or more groin complications. Ecchymosis was the most frequent groin complication; 102 (34%). Females and participants greater than 65 years were nearly two times more likely to develop groin complications (OR = 2.13, P = .024, 95% CI: 1.11–4.01) and (OR = 2.14, P = .023, 95% CI: 1.11–4.13) compared to other groups. Patients with a systolic blood pressure before sheath removal greater than 180 mmHg were about ten times more likely to develop groin complications (OR = 9.82, P = .001, 95% CI: 2.58–37.37). Conclusions Different factors can increase the risk of groin complications post percutaneous coronary intervention. Therefore, identification of high risk groups (i.e. females) might help in the application of different methods to control these complications.

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“…[2] In recent years, there has been an increase in the incidence of pseudoaneurysms, particularly femoral pseudoaneurysms, as diagnostic methods have become widespread. In the study conducted by Erol et al [4] in 8,649 patients who underwent cardiac catheterization, coronary and/or peripheral angiography, and percutaneous coronary interventions via the femoral artery, the prevalence of pseudoaneurysm was found to be 65 (0.76%). In the study conducted by Huseyin et al, [5] among 12,261 patients who underwent percutaneous intervention for cardiac catheterization, 55 patients (0.44%) developed femoral artery pseudoaneurysm and 42 (0.34%) of them received surgical treatment.…”

Section: Discussionmentioning

confidence: 98%

“…A pseudoaneurysm is a pulsatile mass caused by the deterioration of the integrity of the arterial wall and is associated with the vessel wall. [4] The incidence of femoral pseudoaneurysms following interventional procedures varies between 0.2% and 6%. [2] In recent years, there has been an increase in the incidence of pseudoaneurysms, particularly femoral pseudoaneurysms, as diagnostic methods have become widespread.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of iatrogenic pseudoaneurysms

Kara¹

2019

Turk J Vasc Surg

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Objectives: This study aims to present the results of surgical treatment of femoral and brachial artery pseudoaneurysms after cardiac catheterization. Patients and methods: This retrospective study included a total of 28 patients (10 males, 18 females; mean age 76.5±11.5 years; range, 52 to 90 years) who were diagnosed with pseudoaneurysms between January 2012 and December 2018. Diagnosis of pseudoaneurysm was made based on physical examination and arterial Doppler ultrasonography findings in all patients. The patients with a pseudoaneurysm of ≥2 cm in diameter underwent surgery. Results: Two patients developed a brachial pseudoaneurysm, while 26 patients developed a femoral pseudoaneurysm. The location of the femoral pseudoaneurysm was the superficial femoral artery in 19 (73.07%), common femoral artery in five (19.23%), and deep femoral artery in two (7.69%) patients. No complications were observed during follow-up. Conclusion: Various treatment modalities can be used for iatrogenic pseudoaneurysms. Surgical treatment of iatrogenic pseudoaneurysms is a simple and successful method.

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Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery

Cited by 8 publications

References 7 publications

Decreasing length of limb immobilisation following nonelective transfemoral percutaneous coronary intervention: A randomised clinical trial

Decreasing length of limb immobilisation following nonelective transfemoral percutaneous coronary intervention: A randomised clinical trial

Incidence and predictors of groin complications early after coronary artery intervention: a prospective observational study

Surgical treatment of iatrogenic pseudoaneurysms

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