Micropuncture technique for femoral access is associated with lower vascular complications compared to standard needle. (Record no. 10811)

MARC details
000 -LEADER
fixed length control field 04753nam a22006497a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201229s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1522-1946
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1002/ccd.29330 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33063926
245 ## - TITLE STATEMENT
Title Micropuncture technique for femoral access is associated with lower vascular complications compared to standard needle.
251 ## - Source
Source Catheterization & Cardiovascular Interventions. 97(7):1379-1385, 2021 06 01.
252 ## - Abbreviated Source
Abbreviated source Catheter Cardiovasc Interv. 97(7):1379-1385, 2021 06 01.
252 ## - Abbreviated Source
Former abbreviated source Catheter Cardiovasc Interv. 2020 Oct 16
253 ## - Journal Name
Journal name Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2020-12-29
268 ## - Previous citation
-- Catheterization & Cardiovascular Interventions. 2020 Oct 16
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Vascular access-site complications are the most common complication after cardiac catheterization. These complications increase patient morbidity and mortality, along with healthcare costs.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Femoral access using a Micropuncture reduced the rate of vascular complications with significant reduction in the rate of groin hematomas. Copyright (c) 2020 Wiley Periodicals LLC.
520 ## - SUMMARY, ETC.
Abstract METHODS: We retrospectively analyzed a cohort of 17,844 consecutive patients undergoing PCI. Micropuncture access was used in 2344 patients and a standard 18G needle in 15,500 patients. Primary endpoints included vascular perforation or limb ischemia requiring repair, retroperitoneal bleeding, pseudoaneurysm, arteriovenous fistula, groin hematoma (>4 cm).
520 ## - SUMMARY, ETC.
Abstract OBJECTIVES: We compared access-site complications with a Micropuncture 21-gauge (G) needle to a standard 18G needle in patients undergoing femoral-access percutaneous coronary intervention (PCI).
520 ## - SUMMARY, ETC.
Abstract RESULTS: Patients undergoing PCI with Micropuncture were at higher risk: they were on anticoagulation (557 [23.7%] vs. 1,590 [10.2%], p < .001), used steroids more frequently (131 [5.6%] vs. 638 [4.1%], p < .001) and required the use of an intra-aortic balloon pump more often (191 [(8.1%] vs. 896 [5.7%], p < .001). Overall, the access-site complications rate was lower using Micropuncture (58 [2.5%]) versus standard needle (558 [3.6%], p = .005). The Micropuncture group had a significantly lower rate of hematoma than standard needle (32 [1.4%] vs. 309 [1.9%], p = .03). There was no significant difference in the rate of limb ischemia (1 [0.04%] vs. 12 [0.07%], p = .56), perforation (2 [0.08%] vs. 14 [0.09%], p = .93), retroperitoneal bleeding (3 [0.12%] vs. 18 [0.11%], p = .87), pseudoaneurysm (18 [0.76%] vs. 170 [1.09%], p = .14), and arteriovenous fistula (2 [0.08%] vs. 35 [0.22%], p = .16), comparing the Micropuncture group to a standard needle, respectively.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Percutaneous Coronary Intervention
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Femoral Artery/dg [Diagnostic Imaging]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Percutaneous Coronary Intervention/ae [Adverse Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Punctures
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Risk Factors
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Outcome
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Ben-Dor, Itsik
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Bernardo, Nelson L
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Case, Brian C
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Chezar-Azerrad, Chava
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Forrestal, Brian J
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Hashim, Hayder
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Musallam, Anees
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Rogers, Toby
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Satler, Lowell F
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sharma, Avinash
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Waksman, Ron
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Yerasi, Charan
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Zhang, Cheng
790 ## - Authors
All authors Ben-Dor I, Bernardo N, Case BC, Chezar-Azerrad C, Forrestal BJ, Hashim H, Musallam A, Rogers T, Satler LF, Sharma A, Waksman R, Yerasi C, Zhang C
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1002/ccd.29330">https://dx.doi.org/10.1002/ccd.29330</a>
Public note https://dx.doi.org/10.1002/ccd.29330
858 ## - ORCID
ORCID text Satler, Lowell F
-- Waksman, Ron
Orcid <a href="https://orcid.org/0000-0001-6446-2683">https://orcid.org/0000-0001-6446-2683</a>
-- <a href="https://orcid.org/0000-0002-4063-9226">https://orcid.org/0000-0002-4063-9226</a>
Name https://orcid.org/0000-0001-6446-2683
-- https://orcid.org/0000-0002-4063-9226
-- https://orcid.org/0000-0001-6446-2683
-- https://orcid.org/0000-0002-4063-9226
858 ## - ORCID
ORCID text Satler, Lowell F
-- Waksman, Ron
Orcid <a href="https://orcid.org/0000-0001-6446-2683">https://orcid.org/0000-0001-6446-2683</a>
-- <a href="https://orcid.org/0000-0002-4063-9226">https://orcid.org/0000-0002-4063-9226</a>
Name https://orcid.org/0000-0001-6446-2683
-- https://orcid.org/0000-0002-4063-9226
-- https://orcid.org/0000-0001-6446-2683
-- https://orcid.org/0000-0002-4063-9226
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/29/2020   33063926 33063926 12/29/2020 12/29/2020 Journal Article

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