[Angiology in rhythmology: What should I know about vascular complications?]

Area of Science:

• Cardiology
• Vascular Surgery
• Interventional Radiology

Background:

• Electrophysiological examinations and cardiac device implantations frequently involve vascular punctures.
• Common access sites include femoral veins/arteries and cephalic/axillary veins.

Purpose of the Study:

• To provide an overview of vascular complications associated with electrophysiological procedures and cardiac device implantation.
• To discuss the management of these vascular complications from an angiology perspective.

Main Methods:

• Review of common vascular access sites for cardiac procedures.
• Discussion of potential vascular complications, including bleeding, thrombosis, arteriovenous fistulas, and pseudoaneurysms.
• Emphasis on the importance of proper puncture technique and ultrasound guidance.

Main Results:

• Femoral vessel punctures can lead to bleeding, thrombosis, arteriovenous fistulas, and pseudoaneurysms.
• Transvenous cardiac device implantation carries a risk of venous thrombosis due to indwelling electrodes.
• Ultrasound-guided puncture significantly reduces the incidence of vascular complications.

Conclusions:

• Proper puncture technique is crucial for preventing vascular complications during cardiac procedures.
• Ultrasound guidance is a key strategy for enhancing safety and reducing complications.
• Angiology expertise is vital for managing these vascular issues effectively.