Role of femoral vessel catheterization and altered hemostasis in the development of extraperitoneal hematomas: CT study in 44 patients.

Quint, Leslie E.; Holland, Detlef; Korobkin, Melvyn; Cascade, Philip N.

doi:10.2214/ajr.160.4.8456681

Cited by 14 publications

(17 citation statements)

References 1 publication

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“…CT is instrumental in detecting RPH [11,12]. The standard abdomen/pelvis CT protocol for detection of retroperitoneal bleed is performed without either oral or intravenous contrast.…”

Section: Discussionmentioning

confidence: 99%

Renal perforation and retroperitoneal hematoma: an unusual complication following cardiac catheterization

Peters

Yazar

Lemburg

et al. 2007

Int J Cardiovasc Imaging

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Retroperitoneal hematoma (RPH) is a well-recognised, albeit rare complication of percutaneous transfemoral cardiac catheterization. We describe an unusual case of renal perforation and RPH following transfemoral cardiac catheterization for endomyocardial biopsy. Diagnosis was made based on multidetector computed tomography (MDCT) which clearly depicted active renal hemorrhage in short acquisition time. The case expands the spectrum of possible complications of percutaneous transfemoral cardiac catheterization and illustrates the usefulness MDCT in quickly and adequately detecting RPH.

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“…CT is instrumental in detecting RPH [11,12]. The standard abdomen/pelvis CT protocol for detection of retroperitoneal bleed is performed without either oral or intravenous contrast.…”

Section: Discussionmentioning

confidence: 99%

Renal perforation and retroperitoneal hematoma: an unusual complication following cardiac catheterization

Peters

Yazar

Lemburg

et al. 2007

Int J Cardiovasc Imaging

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“…Quint et al 11) reported the role of femoral vessel catheterization and altered hemostasis in the development of extraperitoneal hematoma. Therefore, the anticoagulant or thrombolytic therapy should be considered to a risk factor for the post-catheterization RH 1,8,9,13,16,18,19) .…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the anticoagulant or thrombolytic therapy should be considered to a risk factor for the post-catheterization RH 1,8,9,13,16,18,19) . Quint et al 11) also studied 44 cases of RH with catheterization and altered hemostasis and suggested that these hematomas usually arise from a vessel that is distant to the puncture site.…”

Section: Discussionmentioning

confidence: 99%

“…This is a relatively rare but serious complication of femoral artery catheterization [2][3][4][5][6][7][8][9][10][11][12][14][15][17][18][19] . Interventional radiologists and cardiologists have identified predisposing factors, typical presentation, and clinical course of this iatrogenic complication 3,5,6,9,11,14,19) . However, only a small number of cases of RH have been reported following interventional neurologic procedures.…”

Section: Introductionmentioning

confidence: 99%

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Retroperitoneal Hematoma as a Serious Complication of Endovascular Aneurysmal Coiling

Murai

Adachi

Yoshida

et al. 2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 48 : [88][89][90] 2010 Retroperitoneal hematoma (RH) due to radiologic intervention for an intracranial lesion is relatively rare, difficult to diagnose, and can be lifethreatening. We report a case of RH that developed in a patient on anticoagulant therapy following endovascular coiling of a ruptured anterior communicating artery (AcoA) aneurysm. An 82-year-old man presented with a 12-day history of headache. Computed tomography (CT) on admission demonstrated slight subarachnoid hemorrhage, and left carotid angiography revealed an AcoA aneurysm. The next day, the aneurysm was occluded with coils via the femoral approach under general anesthesia. The patient received a bolus of 5,000 units of heparin immediately following the procedure, and an infusion rate of 10,000 units/day was initiated. The patient gradually became hypotensive 25 hours after coiling. Abdominal CT showed a huge, high-density soft-tissue mass filling the right side of the retroperitoneum space. The patient eventually died of multiple organ failure five days after coiling. RH after interventional radiology for neurological disease is relatively rare and can be difficult to diagnose if consciousness is disturbed. This case demonstrates the importance of performing routine physical examinations, sequentially measuring the hematocrit and closely monitoring systemic blood pressures following interventional radiologic procedures in patients with abnormal mental status.

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“…The proportions of traumatic and nontraumatic retroperitoneal bleeding are unknown. A study performed by Quint et al [8] in patients with retroperitoneal bleeding undergoing a CT scan showed that 25% of those who underwent femoral access PCI and were given heparin showed discontinuity between access and the bleeding site. In these cases, coagulopathy was more likely to be the cause of bleeding.…”

Section: Figmentioning

confidence: 99%

Bleeding Complications in Percutaneous Coronary Interventions

2013

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Role of femoral vessel catheterization and altered hemostasis in the development of extraperitoneal hematomas: CT study in 44 patients.

Cited by 14 publications

References 1 publication

Renal perforation and retroperitoneal hematoma: an unusual complication following cardiac catheterization

Renal perforation and retroperitoneal hematoma: an unusual complication following cardiac catheterization

Retroperitoneal Hematoma as a Serious Complication of Endovascular Aneurysmal Coiling

Bleeding Complications in Percutaneous Coronary Interventions

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