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Vascular injury following cardiac catheterization
The British Journal of Surgery
|November 1, 1984
Summary
Cardiac catheterization can cause arterial injury, but surgical repair outcomes are excellent. Preferring the common femoral artery access site may reduce injury risk compared to brachial approaches.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
Background:
- Cardiac catheterization is a common procedure.
- Arterial access complications, including injury, can occur.
Purpose of the Study:
- To analyze the incidence and outcomes of arterial injuries during cardiac catheterization.
- To compare injury rates and repair strategies between different arterial access sites.
Main Methods:
- Retrospective review of 3500 patients undergoing cardiac catheterization.
- Analysis of arterial injuries, location, presentation, and surgical repair methods.
Main Results:
- Fifteen (0.43%) patients sustained arterial injury requiring surgical repair.
- Common femoral/profunda femoris artery injuries (7) presented as false aneurysms, treated with suture repair.
- Superficial femoral (3) and brachial (4) artery injuries presented acutely, often requiring vascular grafts.
- Small vessel cannulation was associated with a higher likelihood of arterial injury.
Conclusions:
- Surgical repair of arterial injuries from cardiac catheterization yields excellent outcomes.
- The common femoral artery approach, with a high puncture site, is preferable to the brachial approach to minimize injury risk.