Document Detail

Late presentation of femoral artery complications following percutaneous cannulation for cardiac angiography or angioplasty.
MedLine Citation:
PMID:  1527147     Owner:  NLM     Status:  MEDLINE    
Estimates suggest that less than 1% of patients undergoing femoral artery cannulation, for cardiac treatment or investigation, sustain arterial injury at the entry site. A review of the literature confirmed that bleeding tends to occur within 12 hours of the procedure, occlusion within three to four days and false aneurysms within seven weeks. Six patients are described with arterial damage following percutaneous cannulation. Each patient presented after discharge from the hospital where the procedure was performed. Of the two patients with false aneurysms, one presented four, and the other eight weeks after catheterisation. Three patients, with femoral artery occlusions presented many months after the cannulation. A sixth patient presented 10 years after the initial procedure with an occluded artery at the site of the cannulation. Occlusive problems are probably more common than suggested in the literature. Many of these cases, if they occur late after the injury, are probably misdiagnosed as being caused by atherosclerosis.
S M Smith; R B Galland
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  33     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1992 Jul-Aug
Date Detail:
Created Date:  1992-10-22     Completed Date:  1992-10-22     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  437-9     Citation Subset:  IM    
Department of Surgery, Royal Berkshire Hospital, Reading, UK.
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MeSH Terms
Angiography, Digital Subtraction
Angioplasty, Transluminal, Percutaneous Coronary*
Arterial Occlusive Diseases / epidemiology,  etiology*,  radiography
Catheterization, Peripheral / adverse effects,  statistics & numerical data
Coronary Angiography*
Femoral Artery / injuries*,  radiography
Middle Aged
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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