WHAT IS THE MOST APPROPRIATE METHOD FOR COMMON FEMORAL ARTERY CANNULATION IN PATIENTS AGED ABOVE 75 YEARS WHICH IS THE MOST APPROPRIATE METHOD
DOI:
https://doi.org/10.29121/granthaalayah.v6.i11.2018.1149Keywords:
Complications, Geriatrics, Intervention, Palpation, UltrasoundAbstract [English]
Background: Angiography is the gold standard in the diagnosis and treatment of coronary artery diseases, and the femoral approach is usually preferred. Here we aimed to determine which intervention technique minimizes complications of the femoral approach in patients aged >75 years.
Method: 309 patients aged >75 years were included. They were divided into group 1 (ultrasound-guided intervention group) and group 2 (palpation-guided intervention group) and were compared in terms of clinical and demographic characteristics, laboratory findings, surgical complications, average intervention time, success rate at initial intervention, and accidental venous intervention rate.
Results: Average intervention time (26 (21-25) vs 39 (25-61) min; p < 0.001), average number of intervention attempts (1.10±0.35vs.1.58±1.05; p = 0.012), average accidental venous intervention rate [3 (1.9%) vs. 16 (10%); p<0.001], and average visual analog scale score for pain (2 (1-5) vs. 7 (3-9); p < 0.001) were significantly lower in group 1. Success rate at initial intervention was higher in group 1 [140 (89%) vs. 105 (69%); p<0.001]. Frequency of hematoma, early hematoma, and arteriovenous fistula were lower in group 1.
Conclusions: Ultrasound-guided femoral artery intervention requires less time and provides higher cannulation success rate at the initial attempt, with lesser pain and lower complication rates.
Downloads
References
Feldman, D. N., Swaminathan, R. V., Kaltenbach, L. A., Et Al (2013). "Adoption of Radial Access and Comparison of Outcomes To Femoral Access In Percutaneous Coronary Intervention Clinical Perspective: An Updated Report From The National Cardiovascular Data Registry (2007–2012) ". Circulation, 127(23), 2295-2306. DOI: https://doi.org/10.1161/CIRCULATIONAHA.112.000536
Corley, J. A., Kasliwal, M. K., Tan, L. A., Et Al. (2014). "Delayed Vascular Claudication Following Diagnostic Cerebral Angiography: A Rare Complication of The Angioseal Arteriotomy Closure Device". Journal of Cerebrovascular and Endovascular Neurosurgery, 16(3), 275-280. DOI: https://doi.org/10.7461/jcen.2014.16.3.275
Patel, M. R., Jneid, H., Derdeyn, C. P., Et Al. (2010). "Arteriotomy Closure Devices for Cardiovascular Procedures: A Scientific Statement from The American Heart Association". Circulation, 122(18), 1882-1893. DOI: https://doi.org/10.1161/CIR.0b013e3181f9b345
Chandrasekar, B., Doucet, S., Bilodeau, L.,Et Al. (2001). "Complications Of Cardiac Catheterization In The Current Era: A Single‐Center Experience". Catheterization And Cardiovascular Interventions, 52(3), 289-295. DOI: https://doi.org/10.1002/ccd.1067
Sherev, D. A., Shaw, R. E., & Brent, B. N. (2005). "Angiographic Predictors Of Femoral Access Site Complications: Implication For Planned Percutaneous Coronary Intervention". Catheterization And Cardiovascular Interventions, 65(2), 196-202. DOI: https://doi.org/10.1002/ccd.20354
Altin, R. S., Flicker, S., Naidech, H. J. (1989). "Pseudoaneurysm And Arteriovenous Fistula After Femoral Artery Catheterization: Association With Low Femoral Punctures". American Journal Of Roentgenology, 152(3), 629-631. DOI: https://doi.org/10.2214/ajr.152.3.629
Kim, D., Orron, D. E., Skillman, J. J., Et Al. (1992). "Role of Superficial Femoral Artery Puncture In The Development Of Pseudoaneurysm And Arteriovenous Fistula Complicating Percutaneous Transfemoral Cardiac Catheterization". Catheterization and Cardiovascular Diagnosis, 25(2), 91-97. DOI: https://doi.org/10.1002/ccd.1810250203
Hind, D., Calvert, N., Mcwilliams, R., Et Al. (2003). "Ultrasonic Locating Devices For Central Venous Cannulation: Meta-Analysis". Bmj, 327(7411), 361. DOI: https://doi.org/10.1136/bmj.327.7411.361
Randolph, A. G., Cook, D. J., Gonzales, C. A., Et Al. (1996). "Ultrasound Guidance for Placement Of Central Venous Catheters: A Meta-Analysis Of The Literature". Critical Care Medicine, 24(12), 2053-2058. DOI: https://doi.org/10.1097/00003246-199612000-00020
Feldman, T. (1998). "Percutaneous Vascular Closure: Plugs, Stitches, And Glue". Catheterization and Cardiovascular Diagnosis, 45(1), 89-89. DOI: https://doi.org/10.1002/(SICI)1097-0304(199809)45:1<89::AID-CCD20>3.0.CO;2-F
Samal, A. K., White, C. J. (2002). "Percutaneous Management Of Access Site Complications". Catheterization And Cardiovascular Interventions, 57(1), 12-23. DOI: https://doi.org/10.1002/ccd.10179
Sidawy, A. N., Neville, R. F., Adib, H., Et Al (1993). "Femoral Arteriovenous Fistula Following Cardiac Catheterization: An Anatomic Explanation". Cardiovascular Surgery, 1(2), 134-137.
Webber, G. W., Jang, J., Gustavson, S., Et Al. (2007). "Contemporary Management of Postcatheterization Pseudoaneurysms". Circulation, 115(20), 2666-2674. DOI: https://doi.org/10.1161/CIRCULATIONAHA.106.681973
Katzenschlager, R., Ugurluoglu, A., Ahmadi, A., Et Al. (1995). "Incidence of Pseudoaneurysm after Diagnostic and Therapeutic Angiography". Radiology, 195(2), 463-466. DOI: https://doi.org/10.1148/radiology.195.2.7724767
Seto, A. H., Abu-Fadel, M. S., Sparling, J. M., Et Al. (2010). "Real-Time Ultrasound Guidance Facilitates Femoral Arterial Access and Reduces Vascular Complications: Faust (Femoral Arterial Access with Ultrasound Trial) ". Jacc: Cardiovascular Interventions, 3(7), 751-758.
Gedikoglu, M., Oguzkurt, L., Gur, S.,Et Al. (2013). "Comparison of Ultrasound Guidance with The Traditional Palpation and Fluoroscopy Method for The Common Femoral Artery Puncture". Catheterization and Cardiovascular Interventions, 82(7), 1187-1192. DOI: https://doi.org/10.1002/ccd.24955
Oguzkurt, L., Gürel, K., Eker, E., Et Al. (2012). "Ultrasound-Guided Puncture of the Femoral Artery for Total Percutaneous Aortic Aneurysm Repair". Diagnostic and Interventional Radiology, 18(1), 92.
Arthurs, Z. M., Starnes, B. W., Sohn, V. Y., Et Al. (2008). "Ultrasound-Guided Access Improves Rate Of Access-Related Complications For Totally Percutaneous Aortic Aneurysm Repair". Annals of Vascular Surgery, 22(6), 736-741. DOI: https://doi.org/10.1016/j.avsg.2008.06.003
Gür, S., Oguzkurt, L., Gürel, K.,Et Al. (2013). "Us-Guided Retrograde Tibial Artery Puncture For Recanalization Of Complex Infrainguinal Arterial Occlusions". Diagnostic and Interventional Radiology, 19(2), 134.
Downloads
Published
How to Cite
Issue
Section
License
With the licence CC-BY, authors retain the copyright, allowing anyone to download, reuse, re-print, modify, distribute, and/or copy their contribution. The work must be properly attributed to its author.
It is not necessary to ask for further permission from the author or journal board.
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.