Femoral vascular access-site complications in the cardiac catheterization laboratory: diagnosis and management

Bhatty, Shaun; Cooke, Richard H.; Shetty, Ranjith; Jovin, Ion S.

doi:10.2217/ica.11.49

Cited by 44 publications

(45 citation statements)

References 60 publications

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“…Regarding evaluation of the complications, this is initially clinical, through signs and symptoms, and may require imaging examinations (46) for diagnosis confirmation. Most complications, after identification, may be carried out with clinical monitoring; conservative measures such as manual compression or use of compression devices; compression guided by ultrasound; or percutaneous/endovascular treatments.…”

Section: Discussionmentioning

confidence: 99%

Complicações do acesso vascular em pacientes submetidos a procedimentos percutâneos em hemodinâmica: revisão de escopo

Reich

Rabelo‐Silva

Santos

et al. 2018

Rev. Gaúcha Enferm.

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Objective:To map the production of knowledge on vascular access complications in patients undergoing percutaneous procedures in hemodynamic laboratories.Methods: Scoping review study. The search strategy was developed in three stages, considering the period from July 2005 to July 2015 in the PubMed, CINAHL, Scopus, and LILACS databases. The collected data were analyzed and summarized in a narrative form. Results:One-hundred twenty-eight publications that made it possible to map the contexts of study of complications, occurrence according to access routes, as well as an understanding of diagnosis and clinical management, were included. Three theme categories were identified: complications; predictive factors; and diagnosis/treatment. Resultados: Fueron incluidas 128 publicaciones que permitieron mapear los contextos de estudio de las complicaciones, la ocurrencia de acuerdo con las vías, así como la comprensión del diagnóstico y manejo clínico. Como síntesis del análisis se identificó tres categorías temáticas: Complicaciones, Factores predictores y Diagnóstico/tratamiento. Conclusion Conclusión:Las complicaciones en el sitio del acceso vascular son de ocurrencia variable de acuerdo con la vía de acceso utilizada. El conocimiento de los factores que están presentes en la ocurrencia de estos eventos puede auxiliar en el reconocimiento temprano, planeamiento y control de la atención implementados.Palabras clave: Procedimientos endovasculares. Hematoma. Hemorragia. Atención al paciente.

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Section: Discussionmentioning

confidence: 99%

Complicações do acesso vascular em pacientes submetidos a procedimentos percutâneos em hemodinâmica: revisão de escopo

Reich

Rabelo‐Silva

Santos

et al. 2018

Rev. Gaúcha Enferm.

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“…In such cases, caution is needed to prevent puncture-associated complications in particular. 4,6) As such complications, hemorrhage at the site of puncture, pseudoaneurysms, arteriovenous fistulae, vascular rupture, and vascular occlusion have been reported. [1][2][3][4][5] To prevent these complications, it is necessary to have accurate knowledge and carefully perform procedures cannot be prepared in an emergency situation.…”

Section: Discussionmentioning

confidence: 99%

“…4,6) As such complications, hemorrhage at the site of puncture, pseudoaneurysms, arteriovenous fistulae, vascular rupture, and vascular occlusion have been reported. [1][2][3][4][5] To prevent these complications, it is necessary to have accurate knowledge and carefully perform procedures cannot be prepared in an emergency situation. Furthermore, it is difficult to maintain the true lumen of a markedly tortuous blood vessel using a guidewire, as demonstrated in the present case, and end leakage may occur due to kinking of the vessel.…”

Section: Discussionmentioning

confidence: 99%

“…The mortality rate is reportedly 6.6%. 4) In such cases, when hemostasis is not achieved by manual compression, contralateral puncture and hemostasis with a balloon at the point of hemorrhage are effective. 7) Iliac artery rupture, as observed in the present case, is rare, but it may lead to retroperitoneal hematoma formation, causing shock.…”

Section: Case Presentationmentioning

confidence: 99%

“…As such complications, hemorrhage at the site of puncture, pseudoaneurysms, arteriovenous fistulae, vascular rupture, and thrombotic occlusion have been reported. [1][2][3][4][5] Hemorrhage at the site of puncture or vascular rupture may lead to retroperitoneal hematoma formation, decreasing the blood pressure, so caution is needed in particular.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Patient in Whom Antegrade Blood Flow Blockage with a Balloon Guiding Catheter Was Effective for External Iliac Artery Rupture on Sheath Insertion

Niimi

Tasaka

Suyama

et al. 2018

JNET

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Objective: We report a patient in whom antegrade blood flow blockage with a balloon guiding catheter was effective for external iliac artery (EIA) rupture on 9 Fr sheath insertion.Case Presentation: Thrombectomy was selected for a 76-year-old male in the acute phase of cerebral infarction. The right common femoral artery (CFA) was punctured, and a 4 Fr sheath was exchanged for a 9 Fr sheath. At this point, EIA rupture occurred, causing shock. Hemostasis was not achieved by manual compression. The contralateral CFA was punctured, and a 9 Fr OPTIMO (Tokai Medical Products, Aichi, Japan) was guided to proximal side of the point of rupture.His blood pressure was stabilized by blocking antegrade blood flow via balloon inflation. Artificial blood vessel replacement was performed, leading to a favorable outcome. Conclusion:Antegrade blood flow blockage with a balloon was effective for EIA rupture.Keywords▶ external iliac artery rupture, retroperitoneal hematoma, puncture-associated complications, a balloon guiding catheter

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Ultrasound-guided versus anatomic landmark-guided percutaneous femoral artery access

Strauss

Siracuse

Madassery

et al. 2021

Cochrane Database of Systematic Reviews

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Femoral vascular access-site complications in the cardiac catheterization laboratory: diagnosis and management

Cited by 44 publications

References 60 publications

Complicações do acesso vascular em pacientes submetidos a procedimentos percutâneos em hemodinâmica: revisão de escopo

Complicações do acesso vascular em pacientes submetidos a procedimentos percutâneos em hemodinâmica: revisão de escopo

A Patient in Whom Antegrade Blood Flow Blockage with a Balloon Guiding Catheter Was Effective for External Iliac Artery Rupture on Sheath Insertion

Ultrasound-guided versus anatomic landmark-guided percutaneous femoral artery access

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