Access Site Related Vascular Complications following Percutaneous Cardiovascular Procedures

Vascular access site complications (ASC) are among the most frequent complications of percutaneous cardiovascular procedures (PCP) and are associated with adverse outcome and high resources utilization. In this prospective study, we investigated patients with postprocedural clinical suspicion of ASC...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Johanna Hetrodt, Christiane Engelbertz, Katrin Gebauer, Jacqueline Stella, Matthias Meyborg, Eva Freisinger, Holger Reinecke, Nasser Malyar
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	percutaneous cardiovascular procedures access site complications femoral access pseudoaneurysm outcome Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/6a852db884c84db5b7ec0d0e7034e39f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6a852db884c84db5b7ec0d0e7034e39f
record_format	dspace
spelling	oai:doaj.org-article:6a852db884c84db5b7ec0d0e7034e39f2021-11-25T18:00:12ZAccess Site Related Vascular Complications following Percutaneous Cardiovascular Procedures10.3390/jcdd81101362308-3425https://doaj.org/article/6a852db884c84db5b7ec0d0e7034e39f2021-10-01T00:00:00Zhttps://www.mdpi.com/2308-3425/8/11/136https://doaj.org/toc/2308-3425Vascular access site complications (ASC) are among the most frequent complications of percutaneous cardiovascular procedures (PCP) and are associated with adverse outcome and high resources utilization. In this prospective study, we investigated patients with postprocedural clinical suspicion of ASC evaluated by duplex ultrasound (DUS) for the presence of ASC. We assessed the incidence, in-hospital outcome, treatment of complications and predictors for ASC. Overall, 12,901 patients underwent PCP during a 40 months period. Of those, 2890 (22.4%) patients had postprocedural clinical symptoms of ASC and were evaluated using DUS. An ASC was found in 206 of the DUS examined patients (corresponding to 7.1% of the 2890 DUS examined patients). In 6.7% of all valvular/TAVI procedures, an ASC was documented, while coronary, electrophysiological and peripheral PCP had a comparable and low rate of complications (1.2–1.5%). Pseudoaneurysm (PSA) was the most frequent ASC (67.5%), followed by arteriovenous fistula (13.1%), hematoma (7.8%) and others (11.7%). Of all PSA, 84 (60.4%) were treated surgically, 44 (31.6%) by manual compression and 11 (7.9%) conservatively. Three (0.02%) patients died due to hemorrhagic shock. In conclusion, femoral ASC are rare in the current era of PCP with PSA being the leading type of ASC. Nonetheless, patients with predisposing risk factors and postprocedural suspicious clinical findings should undergo a DUS to early detect and mitigate ASC-associated outcome.Johanna HetrodtChristiane EngelbertzKatrin GebauerJacqueline StellaMatthias MeyborgEva FreisingerHolger ReineckeNasser MalyarMDPI AGarticlepercutaneous cardiovascular proceduresaccess site complicationsfemoral accesspseudoaneurysmoutcomeDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Cardiovascular Development and Disease, Vol 8, Iss 136, p 136 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	percutaneous cardiovascular procedures access site complications femoral access pseudoaneurysm outcome Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	percutaneous cardiovascular procedures access site complications femoral access pseudoaneurysm outcome Diseases of the circulatory (Cardiovascular) system RC666-701 Johanna Hetrodt Christiane Engelbertz Katrin Gebauer Jacqueline Stella Matthias Meyborg Eva Freisinger Holger Reinecke Nasser Malyar Access Site Related Vascular Complications following Percutaneous Cardiovascular Procedures
description	Vascular access site complications (ASC) are among the most frequent complications of percutaneous cardiovascular procedures (PCP) and are associated with adverse outcome and high resources utilization. In this prospective study, we investigated patients with postprocedural clinical suspicion of ASC evaluated by duplex ultrasound (DUS) for the presence of ASC. We assessed the incidence, in-hospital outcome, treatment of complications and predictors for ASC. Overall, 12,901 patients underwent PCP during a 40 months period. Of those, 2890 (22.4%) patients had postprocedural clinical symptoms of ASC and were evaluated using DUS. An ASC was found in 206 of the DUS examined patients (corresponding to 7.1% of the 2890 DUS examined patients). In 6.7% of all valvular/TAVI procedures, an ASC was documented, while coronary, electrophysiological and peripheral PCP had a comparable and low rate of complications (1.2–1.5%). Pseudoaneurysm (PSA) was the most frequent ASC (67.5%), followed by arteriovenous fistula (13.1%), hematoma (7.8%) and others (11.7%). Of all PSA, 84 (60.4%) were treated surgically, 44 (31.6%) by manual compression and 11 (7.9%) conservatively. Three (0.02%) patients died due to hemorrhagic shock. In conclusion, femoral ASC are rare in the current era of PCP with PSA being the leading type of ASC. Nonetheless, patients with predisposing risk factors and postprocedural suspicious clinical findings should undergo a DUS to early detect and mitigate ASC-associated outcome.
format	article
author	Johanna Hetrodt Christiane Engelbertz Katrin Gebauer Jacqueline Stella Matthias Meyborg Eva Freisinger Holger Reinecke Nasser Malyar
author_facet	Johanna Hetrodt Christiane Engelbertz Katrin Gebauer Jacqueline Stella Matthias Meyborg Eva Freisinger Holger Reinecke Nasser Malyar
author_sort	Johanna Hetrodt
title	Access Site Related Vascular Complications following Percutaneous Cardiovascular Procedures
title_short	Access Site Related Vascular Complications following Percutaneous Cardiovascular Procedures
title_full	Access Site Related Vascular Complications following Percutaneous Cardiovascular Procedures
title_fullStr	Access Site Related Vascular Complications following Percutaneous Cardiovascular Procedures
title_full_unstemmed	Access Site Related Vascular Complications following Percutaneous Cardiovascular Procedures
title_sort	access site related vascular complications following percutaneous cardiovascular procedures
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6a852db884c84db5b7ec0d0e7034e39f
work_keys_str_mv	AT johannahetrodt accesssiterelatedvascularcomplicationsfollowingpercutaneouscardiovascularprocedures AT christianeengelbertz accesssiterelatedvascularcomplicationsfollowingpercutaneouscardiovascularprocedures AT katringebauer accesssiterelatedvascularcomplicationsfollowingpercutaneouscardiovascularprocedures AT jacquelinestella accesssiterelatedvascularcomplicationsfollowingpercutaneouscardiovascularprocedures AT matthiasmeyborg accesssiterelatedvascularcomplicationsfollowingpercutaneouscardiovascularprocedures AT evafreisinger accesssiterelatedvascularcomplicationsfollowingpercutaneouscardiovascularprocedures AT holgerreinecke accesssiterelatedvascularcomplicationsfollowingpercutaneouscardiovascularprocedures AT nassermalyar accesssiterelatedvascularcomplicationsfollowingpercutaneouscardiovascularprocedures
_version_	1718411747942989824

Access Site Related Vascular Complications following Percutaneous Cardiovascular Procedures

Ejemplares similares