Safety of early ambulation in patients undergoing ultrasound-guided femoral low angle arterial access technique (FLAT)
| Autor: | Marcin K. Kolber, Abhishek Kumar, Rajesh I. Patel, P. Shukla |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Femoral artery Punctures 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.artery Early ambulation medicine Outpatient clinic Humans Radiology Nuclear Medicine and imaging In patient Early Ambulation Ultrasonography Interventional Retrospective Studies Past medical history Radiological and Ultrasound Technology business.industry Hemostatic Techniques Ultrasound General Medicine Middle Aged Ultrasound guided Surgery Femoral Artery Hemostasis Female Patient Safety business Vascular Surgical Procedures |
| Zdroj: | Diagnostic and interventional imaging. 98(6) |
| ISSN: | 2211-5684 |
| Popis: | Purpose To evaluate the safety of early ambulation in patients undergoing transfemoral arterial interventions via ultrasound-guided femoral low angle arterial access technique (FLAT). Materials and methods A total of 58 patients undergoing 72 transfemoral arterial procedures that underwent an attempt at FLAT for femoral artery cannulation at our institution from November 2014 to July 2015 were retrospectively identified. Technical success was defined as obtaining less than a 35-degree angle of entry through the anterior wall of the common femoral artery. Patients for which a low angle was achieved were ambulated after 2 hours after hemostasis was achieved with manual compression. All patients received out-patient clinic follow-up which included ultrasound examination of the femoral artery. Chart review provided demographic data, pertinent past medical history, procedural information (type of procedure, size of femoral access sheath, time to ambulation), complications related to arterial access and follow up. Results Twelve patients were excluded from the study due to inability to analyze ultrasound images. A low angle was achieved in 37 patients (17 men, 20 women; mean age: 58.5 years ± 13.1 [SD]) undergoing 45 procedures who met inclusion criteria for the study, yielding technical success rate of 75%. There was a moderate positive correlation between the access angle and depth of the common femoral artery at the site of puncture (r = 0.45; P |
| Databáze: | OpenAIRE |
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