| Vascular complications of cardiac catheterization. | |
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MedLine Citation:
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PMID: 1880845 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Femoral artery injury after diagnostic and therapeutic cardiac catheterization is a frequently encountered clinical problem. This study reviews 150 femoral artery injuries that occurred in 16,350 patients over a 5-year period. A prospective computerized cardiac catheterization data bank was used to determine significant risk factors associated with the occurrence of vascular injury. Logistic regression analysis revealed that congestive heart failure, female gender, and percutaneous transluminal coronary angioplasty or valvuloplasty procedure were significantly associated with occurrence of vascular injury. Greater age, smaller body surface area, and smaller weight were also associated with injury. Recommendations for management include an aggressive approach to obstruction even if local vascular reconstruction is required. False aneurysms are studied by ultrasonography, and small ones may be observed expectantly. Larger aneurysms and aneurysms that persist beyond a few days are managed by use of general or regional anesthesia and by gaining proximal control of the iliac artery. Arteriovenous fistulas resulting from catheterization are rarely hemodynamically significant and often close spontaneously. Thus repair should be delayed. |
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Authors:
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R L McCann; L B Schwartz; K S Pieper |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular surgery Volume: 14 ISSN: 0741-5214 ISO Abbreviation: J. Vasc. Surg. Publication Date: 1991 Sep |
Date Detail:
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Created Date: 1991-10-03 Completed Date: 1991-10-03 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 375-81 Citation Subset: IM |
Affiliation:
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Department of Surgery, Duke University Medical Center, Durham, NC 27710. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Aneurysm / epidemiology, surgery Angioplasty, Balloon, Coronary / statistics & numerical data Arteriosclerosis / epidemiology Arteriovenous Fistula / epidemiology, surgery Balloon Dilation / statistics & numerical data Body Surface Area Female Femoral Vein / injuries*, surgery Heart Catheterization / adverse effects*, statistics & numerical data Heart Failure / epidemiology Humans Incidence Male Middle Aged North Carolina / epidemiology Regression Analysis Risk Factors Survival Rate Thromboembolism / epidemiology, therapy Wounds and Injuries / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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