Location of femoral artery puncture site and the risk of postcatheterization pseudoaneurysm formation

Gabriel, Marcin; Pawlaczyk, Katarzyna; Waliszewski, Krzysztof N.; Krasiński, Zbigniew; Majewski, Wacław

doi:10.1016/j.ijcard.2006.09.018

Cited by 79 publications

(42 citation statements)

References 22 publications

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“…We have always preferred the subclavian (infraclavicular) vein because of its low rate of infectious complications. We have always preferred to see the whole needle through its route in the soft tissues, favouring our self-taught approach that was called later the 'in-plane' technique [37]. Our microconvex probe makes everything easier: it is easily held, and can expose the vein at short-axis or long-axis easily (without condemning the user to follow anatomical constraints).…”

Section: Assistance During Venous Cannulationmentioning

confidence: 99%

Ten good reasons to practice ultrasound in critical care

Lichtenstein¹,

Hooland²,

Elbers³

et al. 2014

Anaesthesiol Intensive Ther

141

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Over the past decade, critical care ultrasound has gained its place in the armamentarium of monitoring tools. A greater understanding of lung, abdominal, and vascular ultrasound plus easier access to portable machines have revolutionised the bedside assessment of our ICU patients. Because ultrasound is not only a diagnostic test, but can also be seen as a component of the physical exam, it has the potential to become the stethoscope of the 21 st century. Critical care ultrasound is a combination of simple protocols, with lung ultrasound being a basic application, allowing assessment of urgent diagnoses in combination with therapeutic decisions. The LUCI (Lung Ultrasound in the Critically Ill) consists of the identification of ten signs: the bat sign (pleural line); lung sliding (seashore sign); the A-lines (horizontal artefact); the quad sign and sinusoid sign indicating pleural effusion; the fractal and tissue-like sign indicating lung consolidation; the B-lines and lung rockets indicating interstitial syndromes; abolished lung sliding with the stratosphere sign suggesting pneumothorax; and the lung point indicating pneumothorax. Two more signs, the lung pulse and the dynamic air bronchogram, are used to distinguish atelectasis from pneumonia. The BLUE protocol (Bedside Lung Ultrasound in Emergency) is a fast protocol (< 3 minutes), also including a vascular (venous) analysis allowing differential diagnosis in patients with acute respiratory failure. With this protocol, it becomes possible to differentiate between pulmonary oedema, pulmonary embolism, pneumonia, chronic obstructive pulmonary disease, asthma, and pneumothorax, each showing specific ultrasound patterns and profiles. The FALLS protocol (Fluid Administration Limited by Lung Sonography) adapts the BLUE protocol to be used in patients with acute circulatory failure. It makes a sequential search for obstructive, cardiogenic, hypovolemic, and distributive shock using simple real-time echocardiography in combination with lung ultrasound, with the appearance of B-lines considered to be the endpoint for fluid therapy. An advantage of lung ultrasound is that the patient is not exposed to radiation, and so the LUCI-FLR project (LUCI favouring limitation of radiation) can be unfolded in trauma patients. Although it has been practiced for 25 years, critical care ultrasound is a relatively young but expanding discipline and can be seen as the stethoscope of the modern intensivist. In this review, the usefulness and advantages of ultrasound in the critical care setting are discussed in ten points. The emphasis is on a holistic approach, with a central role for lung ultrasound.

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Section: Assistance During Venous Cannulationmentioning

confidence: 99%

Ten good reasons to practice ultrasound in critical care

Lichtenstein¹,

Hooland²,

Elbers³

et al. 2014

Anaesthesiol Intensive Ther

141

View full text Add to dashboard Cite

show abstract

“…Application of good external compression after sheath removal, selecting a small-bore introducer and sheath removal at a low activated clotting time (<200 sec) are important factors preventing pseudoaneurysm. Ultrasonography guided compression of the communicating canal of the pseudoaneurysm stops the blood flow and leads to clotting and obliteration with a success rate of 84-93% in patients without anticoagulation (Lange et al 2001, Gabriel et al 2007, Schaub et al 1994. Ultrasound-guided thrombin injection is another effective means with a success rate of 97-100% (Schneider et al 2009, Weinmann et al 2002.…”

Section: Pseudoaneurysmmentioning

confidence: 99%

Diagnosis and Management of Complications of Invasive Coronary Angiography

Park¹,

Kim²

2011

Advances in the Diagnosis of Coronary Atherosclerosis

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“…Bir kıs mı ise yay gın pe ri fe ral ar ter has ta lı ğı, hi per tan si yon, obe si te, anti ko a gü lan kul la nı mı, trom bo si to pe ni gi bi has ta ile il gi li fak tör ler dir. 4,5 Psö do a nev riz ma ta nı sı nı koy mak için Dopp ler USG 'de iyi ta nım lan mış spe si fik bul gu lar ço ğu zaman ye ter li dir. 2,6 Komp li ke va ka lar da ise BTA ve dijital substraksiyon anjiyografik gö rün tü le me gere kir.…”

Section: Tar Tiş Maunclassified

“…1,4,5 Psö do a nev riz ma la rın ço ğu spontan ola rak trom bo ze olup ka pa nır ken, ka pan ma yan yak la şık %10-20 va ka te da vi ge rek ti rir. 7,8 Psö do a nev riz ma la rın te da vi yön tem le ri arasın da Dopp ler ul tra so nog ra fi eş li ğin de kom presyon, Dopp ler ul tra so nog ra fi eş li ğin de trom bin en jek si yo nu, en do vas kü ler em bo li zas yon ve stentgreft le me, cer ra hi yön tem ler (li gas yon, re zek si yon ve greft le me) sa yı la bi lir.…”

Section: Tar Tiş Maunclassified

Femoral Artery Pseudoaneurysm Rupture: A Catastrophic Complication Excluded with Endovascular Stenting: Case Report

Gümüştaş¹,

Çıftçı²

2011

Turkiye Klinikleri J Med Sci

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Location of femoral artery puncture site and the risk of postcatheterization pseudoaneurysm formation

Cited by 79 publications

References 22 publications

Ten good reasons to practice ultrasound in critical care

Ten good reasons to practice ultrasound in critical care

Diagnosis and Management of Complications of Invasive Coronary Angiography

Femoral Artery Pseudoaneurysm Rupture: A Catastrophic Complication Excluded with Endovascular Stenting: Case Report

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