Incidence and Treatment of Arterial Access Dissections Occurring during Cardiac Catheterization

Prasad, Amit; Compton, Peggy; Prasad, Anand; Roesle, Michele; Makke, Lorenza; Rogers, Sherise C.; Banerjee, Subhash; Brilakis, Emmanouil S.

doi:10.1111/j.1540-8183.2007.00309.x

Cited by 19 publications

(8 citation statements)

References 26 publications

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“…Dissection of the femoral and iliac arteries occurs very infrequently, (0.42% of the most current cohorts). ( Prasad et al , 2008 ) It occurs more commonly in iliac arteries with increased atherosclerotic burden, tortuosity, or traumatic sheath placement. Occlusive dissection is a potentially limb and life-threatening complications that can be identified and treated safely upon diagnosis.…”

Section: Local Vascular Injurymentioning

confidence: 99%

Risks and Complications of Coronary Angiography: A Comprehensive Review

Tavakol¹,

Ashraf²,

Brener³

2011

GJHS

230

199

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Coronary angiography and heart catheterization are invaluable tests for the detection and quantification of coronary artery disease, identification of valvular and other structural abnormalities, and measurement of hemodynamic parameters. The risks and complications associated with these procedures relate to the patient’s concomitant conditions and to the skill and judgment of the operator. In this review, we examine in detail the major complications associated with invasive cardiac procedures and provide the reader with a comprehensive bibliography for advanced reading.

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Section: Local Vascular Injurymentioning

confidence: 99%

Risks and Complications of Coronary Angiography: A Comprehensive Review

Tavakol¹,

Ashraf²,

Brener³

2011

GJHS

230

199

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“…Experience with CFA stenting of arterioclerotic occlusive disease, or of accessrelated dissections, is limited and mid-or long-term follow-up has not been reported yet (12,13) In our cases the CFA stent would have to end distally either in the SFA or the DFA, thus compromising one or the other arterial orifice. In conclusion, we reported on two cases with percutaneous balloon fenestration of flow-limiting localized iatrogenic dissection of the CFA with initial technical success in both cases and favorable short-to midterm outcome.…”

Section: Case Reportsmentioning

confidence: 84%

Percutaneous Balloon Fenestration of Flow-limiting Iatrogenic Dissection of the Common Femoral Artery: Report of Two Cases

Fornaro

Meier

Pfammatter

2010

Journal of Vascular and Interventional Radiology

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Acute iatrogenic arterial dissection is a known complication of endovascular techniques and can be treated with prolonged ballooning, stent placement, or balloon fenestration. Treatment of common femoral artery (CFA) dissection needs special attention because of the potential compromise of either the deep or superficial femoral artery origin and the enhanced mechanical stress to arteries in the groin. The authors report two cases with percutaneous balloon fenestration of flow-limiting localized iatrogenic dissection of the CFA with initial technical success in both cases and favorable short-to midterm outcomes.

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“…In transfemoral cardiac catheterization, retrieval of a knotted catheter through the ipsilateral femoral artery can be challenging. Simple counter torquing of the catheter may be ineffective at correcting the deformity or, potentially, make it even worse, while aggressive traction may result in vessel trauma, including dissection and perforation (3,4). Often, the kink or knot within the catheter can be straightened using a standard or stiff guide wire, but where this manoeuvre fails, the use of a snaring device may be necessary (5,6).…”

Section: Discussionmentioning

confidence: 99%

Retrieval of a firmly impacted knotted coronary catheter through the contralateral femoral artery using a balloon angioplasty catheter

Mujtaba¹,

Farquharson²,

Arnous³

et al. 2014

Curr Res Cardiol

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K notting of a coronary catheter is a well recognized complication of transfemoral cardiac catheterization (1,2). The standard technique for managing this is to straighten the catheter using a stiff wire or, where it is more firmly impacted, to extract it using a snare device introduced via the contralateral femoral artery (2). When these techniques fail, surgical removal or other innovative techniques may be necessary. In the current report, we describe a case of a knotted catheter in the case rePort Sh Mujtaba, F Farquharson, S Arnous, M El-omar. Retrieval of a firmly impacted knotted coronary catheter through the contralateral femoral artery using a balloon angioplasty catheter. Curr Res Cardiol 2014;1(2):107-110.

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Incidence and Treatment of Arterial Access Dissections Occurring during Cardiac Catheterization

Abstract: Arterial access dissections occur infrequently during cardiac catheterization. Routine femoral artery angiography may help identify vascular access complications, often allowing simultaneous endovascular treatment, with excellent short-term outcomes.

Cited by 19 publications

References 26 publications

Risks and Complications of Coronary Angiography: A Comprehensive Review

Risks and Complications of Coronary Angiography: A Comprehensive Review

Percutaneous Balloon Fenestration of Flow-limiting Iatrogenic Dissection of the Common Femoral Artery: Report of Two Cases

Retrieval of a firmly impacted knotted coronary catheter through the contralateral femoral artery using a balloon angioplasty catheter

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