Document Detail

Vascular complications of cardiac catheterization.
MedLine Citation:
PMID:  1880845     Owner:  NLM     Status:  MEDLINE    
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.
R L McCann; L B Schwartz; K S Pieper
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  14     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-10-03     Completed Date:  1991-10-03     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  375-81     Citation Subset:  IM    
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
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MeSH Terms
Age Factors
Aneurysm / epidemiology,  surgery
Angioplasty, Balloon, Coronary / statistics & numerical data
Arteriosclerosis / epidemiology
Arteriovenous Fistula / epidemiology,  surgery
Balloon Dilation / statistics & numerical data
Body Surface Area
Femoral Vein / injuries*,  surgery
Heart Catheterization / adverse effects*,  statistics & numerical data
Heart Failure / epidemiology
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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