Femoral vascular complications following cardiac catheterisation

Abstract

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.

The effect of the local cold application on low back pain and vascular complications of patients undergoing coronary angiography

“…Obese people have deeper femoral arteries which are more dif icult to access. This can increase the probability of damage to these arteries while trying to access (Williams et al, 2018). Therefore, we may conclude that ecchymosis also might be in association with obesity.…”