Journal article
A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty
Journal of vascular surgery, Vol.13(2), pp.328-335
02/1991
DOI: 10.1016/0741-5214(91)90226-K
PMID: 1990173
Abstract
Over a 14-month period patients undergoing 144 percutaneous transluminal coronary angioplasty procedures were evaluated for the presence of complications at the femoral puncture site. After percutaneous transluminal coronary angioplasty each patient was examined by a surgeon, and then a color-flow duplex scan of the groin was obtained. On the initial scan eight pseudoaneurysms, three arteriovenous fistulas, one combined arteriovenous fistula-pseudoaneurysm, and one thrombosed superficial femoral artery were detected for a major vascular complication rate of 9%. Pseudoaneurysm formation was associated with the use of heparin after removal of the arterial sheath. Seven pseudoaneurysms (initial extravascular cavity size range 1.3 to 3.5 cm) were followed with weekly duplex scans, and all thrombosed spontaneously within 4 weeks of detection. The three patients with isolated arteriovenous fistulas were each followed for at least 8 weeks, and the arteriovenous fistulas persisted. Early surgical intervention for postcatheterization femoral pseudoaneurysms is usually unnecessary as thrombosis often occurs spontaneously. We would advocate an operative approach for pseudoaneurysms that are symptomatic, expanding, or associated with large hematomas. Iatrogenic femoral arteriovenous fistulas should be considered for elective repair, but this may be delayed for several weeks without adverse sequelae.
Details
- Title: Subtitle
- A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty
- Creators
- Timothy F Kresowik - Department of Surgery, The University of Iowa College of Medicine, Iowa City, Iowa USAMichael D Khoury - Department of Surgery, The University of Iowa College of Medicine, Iowa City, Iowa USABrian V Miller - Department of Surgery, The University of Iowa College of Medicine, Iowa City, Iowa USAMichael D Winniford - Department of Medicine, The University of Iowa College of Medicine, Iowa City, Iowa USAAsad R Shamma - Department of Surgery, The University of Iowa College of Medicine, Iowa City, Iowa USAW John Sharp - Department of Surgery, The University of Iowa College of Medicine, Iowa City, Iowa USAM Beth Blecha - Department of Surgery, The University of Iowa College of Medicine, Iowa City, Iowa USAJohn D Corson - Department of Surgery, The University of Iowa College of Medicine, Iowa City, Iowa USA
- Resource Type
- Journal article
- Publication Details
- Journal of vascular surgery, Vol.13(2), pp.328-335
- Publisher
- Mosby, Inc
- DOI
- 10.1016/0741-5214(91)90226-K
- PMID
- 1990173
- ISSN
- 0741-5214
- eISSN
- 1097-6809
- Language
- English
- Date published
- 02/1991
- Academic Unit
- Radiology; Surgery
- Record Identifier
- 9984051711502771
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