Frequency and predictors of access site complications of the transfemoral diagnostic coronary procedures

Authors : Alper KARAKUŞ, Selma ARI, Temel ACAR, Hasan ARİ, Sencer ÇAMCI, Ahmet TUTUNCU, Gökhan ÖZMEN, Mehmet MELEK, Mehmet DEMİR

Pages : 640-646

Doi:10.18621/eurj.707942

View : 20 | Download : 7

Publication Date : 2020-11-04

Article Type : Research Paper

Abstract :Objectives: Access site complications insert ignore into journalissuearticles values(ASC); remain important and common adverse events after coronary angiography. The aim of this study was to evaluate the frequency and predictors of ASC in patients undergoing diagnostic coronary angiography insert ignore into journalissuearticles values(DCA); via the femoral artery. Methods: In this prospective analytical cross sectional study, DCA was performed in 3972 patients by transfemoral approach. The femoral access site hemostasis was obtained by manual compression in all patients. Demographic characteristics of the patients, size of the arterial sheaths, duration of compression time, patients blood pressure, medications, hemoglobin and platelet levels were recorded. All patients were evaluated for ASC insert ignore into journalissuearticles values(pseudoaneurysm, bleeding, dissection, hematoma);. The ASC rate was calculated and ASC predictors were determined by multivariate analysis. Results: The ASC rate was 1.3% insert ignore into journalissuearticles values(53 of 3972 patients);. The complications were more frequent in female insert ignore into journalissuearticles values(female: 29 of 53 [54.7%] vs male: 24 of 53 [45.3%]; p = 0.007); and chronic renal failure insert ignore into journalissuearticles values(CRF); patients insert ignore into journalissuearticles values(103 of 3919 [2.6%] vs 4 of 53 [7.5%]; p = 0.02);. Hemoglobin level was lower insert ignore into journalissuearticles values(13.40 ± 1.73 vs 12.86 ± 1.75; p = 0.02); and manual compression time was longer insert ignore into journalissuearticles values(9.19 ± 3.28 min vs 14.53 ± 6.47 min; p < 0.001); in the ASC group. Clopidogrel insert ignore into journalissuearticles values(188 of 3919 [4.8%] vs 7 of 53 [13.2%]; p = 0.005); and low molecular weight heparin insert ignore into journalissuearticles values(LMWH); using were more frequent insert ignore into journalissuearticles values(37 of 3919 [0.9%] vs 7 of 53 [13.2%]; p < 0.001); in the ASC group. According to multivariate analysis; female gender; OR: 2.13, 95% CI: 1.14-3.99 insert ignore into journalissuearticles values(p = 0.017);, presence of CRF; OR: 3.15, 95% CI: 1.06-9.29 insert ignore into journalissuearticles values(p = 0.038);, manual compression time; OR: 1.23, 95% CI: 1.17-1.30 insert ignore into journalissuearticles values(p < 0.001); and LMWH using; OR: 15.68, 95% CI: 6.05-40.61 insert ignore into journalissuearticles values(p < 0.001); were predictors of ASC. Conclusions: The incidence of femoral ASC rate was 1.3% in patients with DCA. Female gender, presence of CRF, using LMWH and long manual compression time were predictors of ASC.
Keywords : Vascular access devices, coronary angiography, femoral artery, complication