Femoral vascular complications following cardiac catheterisation.

Autor: Williams, Trent, Khan, Arshad, Savage, Lindsay, Condon, Jeremy, Boyle, Andrew J, Collins, Nicholas, Inder, Kerry J
Zdroj: British Journal of Cardiac Nursing; Dec2018, Vol. 13 Issue 12, p593-599, 7p, 2 Charts
Abstrakt: Aim: This study examines the factors associated with femoral vascular complications (FVCs) following cardiac catheterisation. Methods: In a study using a case control design, patients with an FVC (pseudoaneurysm or retroperitoneal bleed) were examined over 5 years. Multivariable logistic regression was used to determine associations with FVCs. Results are reported as adjusted odds ratios (AOR) and 95% confidence intervals (CIs). Results: Seventy-eight (0.65%) patients experienced FVCs (mean age: 65 years, sex: 50% female). Factors that increased the likelihood of experiencing FVC were being female (AOR 2.9, 95% CI 1.3–6.1), smoking (AOR 7.4, 95% CI 3.5–16), having diabetes mellitus (AOR 7.5, 95% CI 3.4–16), having hypertension (AOR 2.9, 95% CI 1.2–6.9), taking anticoagulant medication (AOR 16, 95% CI 5.5–45) having an elevated body mass index (AOR 1.1, 95% CI 1.0–1.2) and the use of vascular closure devices (AOR 3.4, 95% CI 0.61–19). Use of a compression device reduced the likelihood of FVCs developing (AOR 0.6, 95% CI 0.3–1.0). Conclusion: Sex, cardiovascular disease risk factors, and procedural factors remain important in developing FVCs. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index