Micropuncture technique for femoral access is associated with lower vascular complications compared to standard needle
| Autor: | Chava Chezar-Azerrad, Ron Waksman, Brian J. Forrestal, Nelson L. Bernardo, Itsik Ben-Dor, Lowell F. Satler, Brian C. Case, Hayder Hashim, Avinash V. Sharma, Cheng Zhang, Anees Musallam, Toby Rogers, Charan Yerasi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Perforation (oil well) Arteriovenous fistula Punctures 030204 cardiovascular system & hematology 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine Hematoma Percutaneous Coronary Intervention Risk Factors medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Cardiac catheterization Retrospective Studies business.industry Percutaneous coronary intervention General Medicine medicine.disease Surgery Femoral Artery Treatment Outcome Conventional PCI Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventionsREFERENCES. 97(7) |
| ISSN: | 1522-726X |
| Popis: | OBJECTIVES We compared access-site complications with a Micropuncture 21-gauge (G) needle to a standard 18G needle in patients undergoing femoral-access percutaneous coronary intervention (PCI). BACKGROUND Vascular access-site complications are the most common complication after cardiac catheterization. These complications increase patient morbidity and mortality, along with healthcare costs. METHODS We retrospectively analyzed a cohort of 17,844 consecutive patients undergoing PCI. Micropuncture access was used in 2344 patients and a standard 18G needle in 15,500 patients. Primary endpoints included vascular perforation or limb ischemia requiring repair, retroperitoneal bleeding, pseudoaneurysm, arteriovenous fistula, groin hematoma (>4 cm). RESULTS Patients undergoing PCI with Micropuncture were at higher risk: they were on anticoagulation (557 [23.7%] vs. 1,590 [10.2%], p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text