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Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
09:38

Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements

Published on: January 24, 2012

[Diagnosis of vascular complications at the puncture site after cardiac catheterization]

Yutaka Hirano1, Shinichiro Ikuta, Hisakazu Uehara

  • 1Department of Cardiology, Kinki University School of Medicine, Ohnohigashi 377-2, Osakasayama, Osaka 589-8511.

Journal of Cardiology
|July 10, 2004
PubMed

Insights

Ultrasonic examination detected arteriovenous fistula (2.2%) and pseudoaneurysm (2.9%) after cardiac catheterization. This imaging technique proved valuable for diagnosing these vascular complications at the puncture site.

Area of Science:

  • Cardiovascular Medicine
  • Diagnostic Imaging

Background:

  • Cardiac catheterization is a common procedure for diagnosing and treating coronary artery disease.
  • Previous complication incidence data relied on retrospective vascular surgery referrals.
  • Arteriovenous fistula and pseudoaneurysm are known complications of cardiac catheterization.

Purpose of the Study:

  • To determine the incidence of arteriovenous fistula and pseudoaneurysm following percutaneous transluminal angiography.
  • To evaluate the diagnostic utility of ultrasonography for these specific post-catheterization complications.

Main Methods:

  • A prospective study involving 557 consecutive patients undergoing cardiac catheterization.
  • Ultrasonography was performed to assess the puncture site for complications.
  • Data collected between March 1, 2001, and April 1, 2002.

Main Results:

  • Pseudoaneurysm occurred in 2.9% of patients (16/557) and arteriovenous fistula in 2.2% (12/557).
  • Ultrasonography uniquely diagnosed pseudoaneurysm in 43.8% and arteriovenous fistula in 50.0% of cases.
  • Pseudoaneurysm was more prevalent in female patients (p < 0.01); all complications occurred at the femoral artery bifurcation.

Conclusions:

  • Ultrasonic examination is an effective diagnostic tool for identifying arteriovenous fistula and pseudoaneurysm after cardiac catheterization.
  • This imaging modality aids in the early detection of vascular complications at the catheterization puncture site.
Abstract

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