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Risk factors attributed to failure of ultrasound-guided compression for post-cardiac catheterization femoral artery pseudoaneurysms
BACKGROUND: Femoral pseudoaneurysm is the most important access site complication following cardiac catheterization. Ultrasound-guided compression repair is a safe and effective therapeutic modality with variable failure rates and risk factors. The aim of this study was to investigate which factors...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469268/ https://www.ncbi.nlm.nih.gov/pubmed/31019697 http://dx.doi.org/10.1177/2050312119843705 |
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author | Shatnawi, Nawaf J Al-zoubi, Nabil A Jarrah, Jadallah Khader, Yousef Heis, Mowafeq Al-Omari, Mamoon H |
author_facet | Shatnawi, Nawaf J Al-zoubi, Nabil A Jarrah, Jadallah Khader, Yousef Heis, Mowafeq Al-Omari, Mamoon H |
author_sort | Shatnawi, Nawaf J |
collection | PubMed |
description | BACKGROUND: Femoral pseudoaneurysm is the most important access site complication following cardiac catheterization. Ultrasound-guided compression repair is a safe and effective therapeutic modality with variable failure rates and risk factors. The aim of this study was to investigate which factors were associated with a higher incidence of ultrasound-guided compression repair failure for post-cardiac catheterization femoral pseudoaneurysm. METHODS: Data were retrospectively collected from medical records at King Abdullah University Hospital during the period from January 2011 to December 2016. A total of 42 patients with post-cardiac catheterization femoral pseudoaneurysm had attempted ultrasound-guided compression repair. Data regarding patients, procedure and aneurysm-related factors were evaluated by univariate analysis and multivariate logistic regression. RESULTS: Ultrasound-guided compression repair failed in 31% of the patients. Patients with body mass index of ⩾28 kg/m(2), platelet count of ⩽180,000/L, time lag (age of aneurysm) of >48 h following puncture time, aneurysmal neck diameter of ⩾4 mm and communicating tract length of <8 mm were associated with higher rate of ultrasound-guided compression repair failure in the univariate analysis. In the multivariate analysis, time lag (age of aneurysm) > 48 h (odds ratio = 5.7), body mass index ⩾ 28 kg/m(2) (odds ratio = 7.8), neck diameter > 4 mm (odds ratio = 14.4) and tract length < 8 mm (odds ratio = 18.6) were significantly associated with ultrasound-guided compression repair failure. CONCLUSION: Ultrasound-guided compression repair for patients with post-cardiac catheterization femoral pseudoaneurysm was successful in 69% of the patients. Risk factors for failed ultrasound-guided compression repair were as follows: delayed ultrasound-guided compression repair of >48 h, body mass index ⩾ 28 kg/m(2), wide neck diameter > 4 mm and short aneurysmal communication tract < 8 mm. |
format | Online Article Text |
id | pubmed-6469268 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-64692682019-04-24 Risk factors attributed to failure of ultrasound-guided compression for post-cardiac catheterization femoral artery pseudoaneurysms Shatnawi, Nawaf J Al-zoubi, Nabil A Jarrah, Jadallah Khader, Yousef Heis, Mowafeq Al-Omari, Mamoon H SAGE Open Med Original Article BACKGROUND: Femoral pseudoaneurysm is the most important access site complication following cardiac catheterization. Ultrasound-guided compression repair is a safe and effective therapeutic modality with variable failure rates and risk factors. The aim of this study was to investigate which factors were associated with a higher incidence of ultrasound-guided compression repair failure for post-cardiac catheterization femoral pseudoaneurysm. METHODS: Data were retrospectively collected from medical records at King Abdullah University Hospital during the period from January 2011 to December 2016. A total of 42 patients with post-cardiac catheterization femoral pseudoaneurysm had attempted ultrasound-guided compression repair. Data regarding patients, procedure and aneurysm-related factors were evaluated by univariate analysis and multivariate logistic regression. RESULTS: Ultrasound-guided compression repair failed in 31% of the patients. Patients with body mass index of ⩾28 kg/m(2), platelet count of ⩽180,000/L, time lag (age of aneurysm) of >48 h following puncture time, aneurysmal neck diameter of ⩾4 mm and communicating tract length of <8 mm were associated with higher rate of ultrasound-guided compression repair failure in the univariate analysis. In the multivariate analysis, time lag (age of aneurysm) > 48 h (odds ratio = 5.7), body mass index ⩾ 28 kg/m(2) (odds ratio = 7.8), neck diameter > 4 mm (odds ratio = 14.4) and tract length < 8 mm (odds ratio = 18.6) were significantly associated with ultrasound-guided compression repair failure. CONCLUSION: Ultrasound-guided compression repair for patients with post-cardiac catheterization femoral pseudoaneurysm was successful in 69% of the patients. Risk factors for failed ultrasound-guided compression repair were as follows: delayed ultrasound-guided compression repair of >48 h, body mass index ⩾ 28 kg/m(2), wide neck diameter > 4 mm and short aneurysmal communication tract < 8 mm. SAGE Publications 2019-04-16 /pmc/articles/PMC6469268/ /pubmed/31019697 http://dx.doi.org/10.1177/2050312119843705 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Article Shatnawi, Nawaf J Al-zoubi, Nabil A Jarrah, Jadallah Khader, Yousef Heis, Mowafeq Al-Omari, Mamoon H Risk factors attributed to failure of ultrasound-guided compression for post-cardiac catheterization femoral artery pseudoaneurysms |
title | Risk factors attributed to failure of ultrasound-guided compression
for post-cardiac catheterization femoral artery pseudoaneurysms |
title_full | Risk factors attributed to failure of ultrasound-guided compression
for post-cardiac catheterization femoral artery pseudoaneurysms |
title_fullStr | Risk factors attributed to failure of ultrasound-guided compression
for post-cardiac catheterization femoral artery pseudoaneurysms |
title_full_unstemmed | Risk factors attributed to failure of ultrasound-guided compression
for post-cardiac catheterization femoral artery pseudoaneurysms |
title_short | Risk factors attributed to failure of ultrasound-guided compression
for post-cardiac catheterization femoral artery pseudoaneurysms |
title_sort | risk factors attributed to failure of ultrasound-guided compression
for post-cardiac catheterization femoral artery pseudoaneurysms |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469268/ https://www.ncbi.nlm.nih.gov/pubmed/31019697 http://dx.doi.org/10.1177/2050312119843705 |
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