Arterial access-site complications after use of a vascular closure device related to puncture height benjamin sartorius†, michael behnes†email author, melike ünsal, ursula hoffmann, siegfried lang, kambis mashayekhi, martin borggrefe and ibrahim akin †contributed equally results. Reduce complications with radial and femoral solutions proven at thepoint of access global leader in arterial access and closure femoral arterial puncture management after percutaneous coronary procedures: a comparison of clinical outcomes and patient satisfaction between manual. Comparison of vascular closure devices vs manual compression after femoral artery puncturethe isar-closure randomized clinical trial main outcomes and measures primary end point: the composite of access site–related vascular complications at 30 days after randomization with a 2. Keywords: arterial puncture closure device angio-seal complication from the swiss cardiovascular center, university hospital bern, switzerland address results in 7 of 1600 cases (04%) vascular complications occurred following angio-seal deployment six patients underwent urgent intervention and 1 patient was. States, and incur substantial risk of access site bleeding furthermore, insertion of central venous catheters and performance of pericardio- or pleurocentesis are common practice, also with substantial risk of vascular or organ injury one of the major risks for access site bleeding is multiple or posterior arterial puncture with. Twenty-threecasesof arterial injury after 8,208 arterial catheterizations for diagnostic or therapeutic carried out and outcome, were collected from a review fifteen patients undergoing cardiac catheterization developed vascular complications at site of arterial puncture of these, 2 patients had undergone coronary. Early detected vascular complication following femoral artery puncture for endovascular sfa revascularisation case report pawel białek1, robert proczka1 iatrogenic vascular trauma is more frequent today as a result of the increase in diagnostic and therapeutic femoral catheterizations we present a case of iatrogenic. Bleeding and vascular complications were the most common non-cardiac, procedure-related adverse outcomes of the estimated 1,178,000 percutaneous that adverse vascular events are associated with a procedure that begins via puncture of an artery, the number and type of local vascular complications, and the clinical.
From the society for vascular surgery comparison of compression (mc) after puncture of the femoral artery for endovascular lower extremity procedures methods: any complication results: the angio-seal (st jude medical, minnetonka, minn) closure device was used in 244 of 463 endovascular interventions (54%. Clinical and subclinical femoral vascular complications after deployment of two different vascular closure devices or manual compression in the history of ipsilateral claudication or vascular surgery, puncture at or distal of the femoral artery bifurcation, requirement of an intra-aortic balloon pump or. Vascular complications after percutaneous coronary interventions following hemostasis with manual compression versus arteriotomy closure devices all procedures were performed by experienced interventional cardiologists who performed both the arterial puncture and the acd application in the catheterization.
Introduction the incidence of vascular complications during diagnostic coronary angiography is 044–18% and c often, incorrect location of the femoral artery puncture site results in complications puncturing below the femoral bifurcation can the pdf can be downloaded from a button on the sidebar please note the. Risks of arterial puncture compared to venipuncture brad s karon, md phd list the primary risks of venipuncture and arterial puncture • estimate the frequency of major medical complications related to arterial puncture and venipuncture • describe the risk of thrombosis and vascular occlusion (hand ischemia.
Risk factors for puncture site complications after endovascular procedures in patients with peripheral arterial disease show all authors seal trial study team assessment of the safety and efficacy of the duett vascular hemostasis device: final results of the safe and effective vascular hemostasis (seal) trial. Full-text paper (pdf): vascular puncture site complications - diagnosis, therapy, and prognosis the aim of the following review is to systematically list the most likely vascular access site complications their diagnosis and if necessary the proper the common femoral artery displays the vascular ac. Conclusion: angio-seal device offers a safe and effective hemostasis of the femoral artery in patients undergoing diagnostic and for the procedure duration from successful arterial puncture to angio-seal deployment table 2 vascular complications complications therapeutic group (n = 45) diagnostic group (n = 57. Femoral artery puncture techniques optimal location of the anatomical puncture site is the most crucial factor in minimising arterial complication rates arteriotomy positions below the common femoral artery (cfa) bifurcation or above the origin of the inferior epigastric artery (iea) are associated with significant vascular.
Vascular interventional procedures  arterio-venous (av) fistula occurs when bleeding from the arterial puncture tracks into the adjacent venous puncture, forming an arteriovenous fistula many of these fistulas are small and resolve spontaneously av fistula is often associated with a low groin puncture. Background: bleeding and vascular complications following retrograde common femoral artery access are studied access site antegrade direct arterial punctures resulted in a complication rate of 1428%, which comprised 20 ecchymosis (7407%), 5 groin hematoma (1851%), and 2 results, top.
Recognize the arterial puncture has resulted in subsequent placement of a large- bore catheter (7 fr) into an artery, ranging from 01% to 10% of attempted cvc placements in reported series9–13 inadvertent arterial placement of a large- bore catheter may result in hemorrhage, pseudoaneurysm,14 stroke, or death15, 16. The incidence of bleeding and vascular complications when compared with traditional compression9-11 also, many patients are not good candidates for closure for anatomical reasons angiography is recommended before deployment of vcds to ensure a single front-wall com- mon femoral arterial puncture (figure 2.
Percutaneous closure devices provide an 134 ñ hjc (hellenic journal of cardiology) management of early and late detected vascular complications following femoral arterial puncture for cardiac catheterization konstantinos filis 1, fotios arhontovasilis 1, dimitrios theodorou 1. All patients undergoing femoral arterial puncture should be promptly evaluated for potential complications because significant hemodynamic deterioration from bleeding or an avf can lead to deleterious outcomes duplex ultrasound is useful for the initial evaluation of femoral puncture-related. Arterial puncture for interventional radiological pro- cedures is associated with infrequent but significant complications1,2 the angio-sealtm device is designed to provide rapid and secure haemostasis after arterial puncture and is currently licensed for use in femoral arterial puncture sites where it has been demonstrated.