000 | 03670nam a22005897a 4500 | ||
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008 | 160113s20142014 xxu||||| |||| 00| 0 eng d | ||
022 | _a0896-4327 | ||
040 | _aOvid MEDLINE(R) | ||
099 | _a24447166 | ||
245 | _aIncidence and correlates in the development of iatrogenic femoral pseudoaneurysm after percutaneous coronary interventions. | ||
251 | _aJournal of Interventional Cardiology. 27(2):212-6, 2014 Apr. | ||
252 | _aJ. INTERVENT. CARDIOL.. 27(2):212-6, 2014 Apr. | ||
253 | _aJournal of interventional cardiology | ||
260 | _c2014 | ||
260 | _fFY2014 | ||
266 | _d2016-01-13 | ||
520 | _aBACKGROUND: IFP is one of the more common vascular complications of PCI. | ||
520 | _aCONCLUSION: The development of IFP following PCI is not uncommon and the appropriate use of vascular closure devices to achieve hemostasis should be encouraged to minimize this vascular complication.Copyright � 2014, Wiley Periodicals, Inc. | ||
520 | _aMETHODS: From February 2008 to June 2012, 10,169 consecutive patients who underwent PCI were retrospectively studied. Patients who developed postprocedural IFP were identified at a single, large tertiary PCI center. | ||
520 | _aOBJECTIVE: We aimed to identify the correlates in the development of post-percutaneous coronary intervention (PCI) iatrogenic femoral pseudoaneurysm (IFP). | ||
520 | _aRESULTS: One hundred thirty-nine patients developed IFP (1.38%) and were compared to the cohort that did not. Baseline characteristics were comparable, although patients in the IFP group were older and had a higher incidence of insulin-requiring diabetes mellitus and chronic renal insufficiency (68.4+/-12.9 vs. 65.4+/-12.3 years, P=0.004; 23.9% vs. 14.6%, P=0.002; and 26.6% vs. 17.3%, P=0.004, respectively). The non-IFP group had more men and a higher use of vascular closure devices, respectively (64.7% vs. 49.6%, P<0.001; and 54.1% vs. 26.5%, P<0.001). There was no significant difference in the use of dual antiplatelet or anticoagulation therapies between the 2 cohorts. Univariable correlates for the development of IFP were female gender, insulin-requiring diabetes mellitus, chronic renal insufficiency, and use of manual compression to achieve hemostasis. On multivariable analysis, the successful deployment of vascular closure device for hemostasis reduced the occurrence of IFP (odds ratio 0.31, 95% confidence interval 0.21-0.46, P<0.0001). | ||
546 | _aEnglish | ||
650 | _a*Aneurysm, False/et [Etiology] | ||
650 | _a*Femoral Artery | ||
650 | _a*Iatrogenic Disease | ||
650 | _a*Percutaneous Coronary Intervention | ||
650 | _aAged | ||
650 | _aAneurysm, False/ep [Epidemiology] | ||
650 | _aDiabetes Mellitus, Type 1/co [Complications] | ||
650 | _aFemale | ||
650 | _aHemostasis | ||
650 | _aHumans | ||
650 | _aIatrogenic Disease/ep [Epidemiology] | ||
650 | _aMale | ||
650 | _aPercutaneous Coronary Intervention/mt [Methods] | ||
650 | _aPostoperative Complications | ||
650 | _aRenal Insufficiency, Chronic/co [Complications] | ||
651 | _aMedStar Heart & Vascular Institute | ||
657 | _aJournal Article | ||
700 | _aBadr, Salem | ||
700 | _aBernardo, Nelson L | ||
700 | _aChen, Fang | ||
700 | _aKitabata, Hironori | ||
700 | _aPichard, Augusto D | ||
700 | _aSatler, Lowell F | ||
700 | _aSuddath, William O | ||
700 | _aTorguson, Rebecca | ||
700 | _aWaksman, Ron | ||
790 | _aBadr S, Bernardo NL, Chen F, Kitabata H, Pichard AD, Satler LF, Suddath WO, Torguson R, Waksman R | ||
856 |
_uhttp://dx.doi.org/10.1111/joic.12091 _zhttp://dx.doi.org/10.1111/joic.12091 |
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942 |
_cART _dArticle |
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999 |
_c1043 _d1043 |