Safety of Percutaneous Transfemoral Coronary and Peripheral Procedures Via Aortofemoral Synthetic Vascular Grafts

Gallagher, Michael J.; Dixon, Simon; Safian, Robert D.; Madala, Mohan; Abraham, Renny; Rimar, Steven; Mattichak, Stephen J.; O’Neill, William W.; Kahn, Joel K.

doi:10.1016/j.amjcard.2005.03.081

Cited by 6 publications

(6 citation statements)

References 13 publications

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“…In other patients, hemostasis was achieved using devices, with the exception of one case in which the device was surgically removed. 7) In these reports of percutaneous puncture of femoral artery graft ( Table 1), puncture site complications were considered to be relatively minor. Nevertheless, this incidence is significant when compared with puncture site complication rate of 0.81%-2.6% in the setting of conventional femoral artery puncture.…”

Section: Discussionmentioning

confidence: 99%

“…Because there is a trend toward the use of large sheath sizes, longer ACT on sheath removal, and older age in patients with puncture site complications, 7) we believe sheath size should be minimized as much as possible. Because the Assurant device, which we used for innominate artery stenting, could be used with a 6 Fr sheath, we had the option to employ a 6 Fr ultralong sheath.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7] However, most of the patients involved underwent manual compression for hemostasis. Puncture site complications were frequent, including hematoma, pseudoaneurysm, infection, lower extremity ischemia, and graft rupture.…”

Section: Introductionmentioning

confidence: 99%

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Direct Puncture of a Surgically-exposed Femoral Artery Graft for Simultaneous Stenting of Coronary, Carotid and Innominate Artery Stenoses

Matsuo

Fujita

Tanaka

et al. 2017

JNET

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Objective: The number of access routes for endovascular treatment is limited in patients with a history of aorto-femoral bypass surgery. Here, we present a patient with stenosis of the coronary, left carotid, and innominate arteries. We performed simultaneous stenting of each stenotic lesion by direct puncture of a femoral artery graft with surgical exposure and purse string suture ligation. Case Presentation:The patient was a 74-year-old male with a history of aorto-bifemoral bypass surgery, coronary artery stenting, and coronary artery bypass grafting for systemic atherosclerotic disease. Coronary artery stenting became necessary because of recurring angina pectoris. The three lesions were treated simultaneously by surgical exposure and direct graft puncture and 9 Fr sheath insertion. The punctured graft was sutured for hemostasis. No puncture site complications were noted. Conclusion:This case suggests that when the number of possible access routes for endovascular treatment is limited, it is feasible and safe to perform direct graft puncture with surgical exposure, and to achieve hemostasis by suturing the puncture site.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Direct Puncture of a Surgically-exposed Femoral Artery Graft for Simultaneous Stenting of Coronary, Carotid and Innominate Artery Stenoses

Matsuo

Fujita

Tanaka

et al. 2017

JNET

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“…Due to the fact that the number of patients who have undergone reconstructive vascular surgery is continuously increasing, we are faced with an increasing demand for peripheral artery revascularization in patients with bypass graft. For those patients, the traditional approach has been employed through a transradial approach or the brachial artery in order to avoid direct puncture of the graft site due to possible postprocedural complications 6)7). However, this approach requires special effort in the optimization of the backup and the stabilization of the guiding catheter.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Transluminal Angioplasty of Contralateral Iliac and Superficial Femoral Arteries via Graft Vessel in a Patient with FemoroFemoral Bypass Graft

2013

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Peripheral arterial disease represents a significant problem, particularly among the elderly population. There has been great progress made in the treatment of peripheral arterial disease in recent years. Percutaneous transluminal angioplasty (PTA) has been employed as a method of treatment for patients with a variety of peripheral arterial disease. We report our experience with PTA of contralateral common iliac and superficial femoral arteries via graft vessel in a patient with femorofemoral bypass due to ipsilateral iliac artery occlusion.

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“…Another significant complication is catheterization-related graft thrombosis (5,7). This may be related to the compression of puncture site to prevent bleeding.…”

Section: Discussionmentioning

confidence: 99%

Carotid artery stenting via a femoral bypass graft: technical note

et al. 2009

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Safety of Percutaneous Transfemoral Coronary and Peripheral Procedures Via Aortofemoral Synthetic Vascular Grafts

Cited by 6 publications

References 13 publications

Direct Puncture of a Surgically-exposed Femoral Artery Graft for Simultaneous Stenting of Coronary, Carotid and Innominate Artery Stenoses

Direct Puncture of a Surgically-exposed Femoral Artery Graft for Simultaneous Stenting of Coronary, Carotid and Innominate Artery Stenoses

Percutaneous Transluminal Angioplasty of Contralateral Iliac and Superficial Femoral Arteries via Graft Vessel in a Patient with FemoroFemoral Bypass Graft

Carotid artery stenting via a femoral bypass graft: technical note

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