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Risk factors attributed to failure of ultrasound-guided compression for post-cardiac catheterization femoral artery pseudoaneurysms.
Shatnawi, Nawaf J; Al-Zoubi, Nabil A; Jarrah, Jadallah; Khader, Yousef; Heis, Mowafeq; Al-Omari, Mamoon H.
Afiliação
  • Shatnawi NJ; Department of Surgery, Jordan University of Science and Technology, Irbid, Jordan.
  • Al-Zoubi NA; Department of Surgery, Jordan University of Science and Technology, Irbid, Jordan.
  • Jarrah J; Department of Surgery, Jordan University of Science and Technology, Irbid, Jordan.
  • Khader Y; Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan.
  • Heis M; Department of Radiology, Jordan University of Science and Technology, Irbid, Jordan.
  • Al-Omari MH; Department of Radiology, Jordan University of Science and Technology, Irbid, Jordan.
SAGE Open Med ; 7: 2050312119843705, 2019.
Article em En | MEDLINE | ID: mdl-31019697
ABSTRACT

BACKGROUND:

Femoral pseudoaneurysm is the most important access site complication following cardiac catheterization. Ultrasound-guided compression repair is a safe and effective therapeutic modality with variable failure rates and risk factors. The aim of this study was to investigate which factors were associated with a higher incidence of ultrasound-guided compression repair failure for post-cardiac catheterization femoral pseudoaneurysm.

METHODS:

Data were retrospectively collected from medical records at King Abdullah University Hospital during the period from January 2011 to December 2016. A total of 42 patients with post-cardiac catheterization femoral pseudoaneurysm had attempted ultrasound-guided compression repair. Data regarding patients, procedure and aneurysm-related factors were evaluated by univariate analysis and multivariate logistic regression.

RESULTS:

Ultrasound-guided compression repair failed in 31% of the patients. Patients with body mass index of ⩾28 kg/m2, platelet count of ⩽180,000/L, time lag (age of aneurysm) of >48 h following puncture time, aneurysmal neck diameter of ⩾4 mm and communicating tract length of <8 mm were associated with higher rate of ultrasound-guided compression repair failure in the univariate analysis. In the multivariate analysis, time lag (age of aneurysm) > 48 h (odds ratio = 5.7), body mass index ⩾ 28 kg/m2 (odds ratio = 7.8), neck diameter > 4 mm (odds ratio = 14.4) and tract length < 8 mm (odds ratio = 18.6) were significantly associated with ultrasound-guided compression repair failure.

CONCLUSION:

Ultrasound-guided compression repair for patients with post-cardiac catheterization femoral pseudoaneurysm was successful in 69% of the patients. Risk factors for failed ultrasound-guided compression repair were as follows delayed ultrasound-guided compression repair of >48 h, body mass index ⩾ 28 kg/m2, wide neck diameter > 4 mm and short aneurysmal communication tract < 8 mm.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Risk_factors_studies Idioma: En Revista: SAGE Open Med Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Jordânia País de publicação: ENGLAND / ESCOCIA / GB / GREAT BRITAIN / INGLATERRA / REINO UNIDO / SCOTLAND / UK / UNITED KINGDOM

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Risk_factors_studies Idioma: En Revista: SAGE Open Med Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Jordânia País de publicação: ENGLAND / ESCOCIA / GB / GREAT BRITAIN / INGLATERRA / REINO UNIDO / SCOTLAND / UK / UNITED KINGDOM