000 03670nam a22005897a 4500
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
942 _cART
_dArticle
999 _c1043
_d1043