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Keywords:
Arteriosclerosis, Arterial access, Catheter arteriography, Interventional vascular
Authors:
D. Dencker1, F. Pedersen2, T. Engstrøm2, L. Køber2, M. Bachmann Nielsen2, T. Schroeder2, L. B. Lonn1; 1Copenhagen /DK, 2Copenhagen/DK
DOI:
10.1594/ecr2015/C-1893
Results
Indications for percutaneous intervention were ST-segment elevation myocardial infarction in 4,739 (20%) and Non-ST-segment elevation myocardial infarction or unstable angina in 7,022 (30%).
A majority of the procedures were coronary angiography but 8,367 (35%) had an additional percutaneous coronary intervention performed.
The puncture sites were closed by either manual compression 3,372 (14%) or vascular closure device 20,498 (86%).
During the study period 130 patients (0.54%) experienced major femoral vascular access complications requiring surgical intervention: 65 pseudoaneurysms (0.28%) (Fig.
1),
46 arterial occlusions (0.19%) (Fig.
2),
15 hematomas (0.06%),
and four arterial dissections (0.02%) (Table 1).
Logistic regression and multivariate analysis showed two and half time higher risk of access complications in females and patients with atherosclerotic disease,
and almost 4 times higher risk of complication in patients with left sided or bilateral access; all at a p< 0.001 level.