Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Major femoral vascular access complications after coronary diagnostic and interventional procedures: A Danish register study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Prevalence of rheumatic heart disease in adults from the Brazilian Amazon Basin

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Early diastolic strain rate in relation to long term prognosis following isolated coronary artery bypass grafting

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. The impact of peripheral artery disease on major adverse cardiovascular events following myocardial infarction

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Clopidogrel, prasugrel, and ticagrelor for all-comers with ST-segment elevation myocardial infarction

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: Vascular access complications after coronary angiography (CAG) and percutaneous coronary intervention (PCI) are known to increase morbidity, prolong hospitalization and raise hospital costs. Therefore, risk factor identification and improvement of safety strategies for vascular management are important. We aimed to assess the incidence of major vascular complications related to femoral access, and to identify potential risk factors.

METHODS: Over a period of six years, 23,870 index procedures (CAG) were performed in two centres, prospectively entered in the database and retrospectively analysed. Data was obtained from the Eastern Danish Heart Registry and cross-matched with data from the Danish Vascular Registry. Index procedures were defined as the first trans-femoral procedure. Demographic, procedural and mortality data, as well as information on access complications requiring surgery within 30days were collected. Mortality data were collected for minimum 12months.

RESULTS: We identified 130 (0.54%) access complications requiring surgery; 65 pseudoaneurysms (0.28%), 46 arterial occlusions (0.19%), 15 hematomas (nine groin and six retroperitoneal hematomas) (0.06%), and 4 arterial dissections (0.02%). Risk factors for complications were left sided femoral access (OR 4.11 [2.29-7.37] p<0.001), peripheral arterial disease (PAD) (OR 2.42 [1.48-3.94] p<0.0001) and female sex (OR 2.22 [1.51-3.24] p<0.0001).

CONCLUSION: Vascular complications related to femoral access in coronary diagnostic and interventional procedures are low (0.54%). Risk factors were left sided access, PAD, and female sex.

OriginalsprogEngelsk
TidsskriftInternational Journal of Cardiology
Vol/bind202
Sider (fra-til)604-608
Antal sider5
ISSN0167-5273
DOI
StatusUdgivet - 2016

ID: 45745937