Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery

ÇETİN, Metin; KOZDAĞ, Güliz; KUTLU, Hüseyin; URAL, Dilek; Ertas, Gokhan; Kutlu, Ayşe; İNAN, Nagihan; YALUĞ, İrem; SELEKLER, HAMİT MACİT; EMRE, Ender

Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery

Türk Kardiyoloji Derneği Arşivi

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Yıl: 2015 Cilt: 43 Sayı: 6 Sayfa Aralığı: 505 - 512 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery

Öz:

ÖZET Amaç: Bu çalışmanın amacı femoral yol ile koroner anjiyog- rafi, kalp kateterizasyonu ve perkütan koroner girişim (PKG) yapılan hastalarda, psödoanevrizma sıklığını ve psödoanev- rizma gelişiminin öngördürücülerini belirlemektir. Yöntemler: Bu çalışmaya Ocak 2007 ile Aralık 2009 tarihle- ri arasında femoral yoldan kalp kateterizasyonu, koroner ve/ veya periferik anjiyografi ve PKG yapılan 8469 hasta alındı. Hastaların klinik özellikleri ve komplikasyonlar gibi tüm veriler geriye dönük olarak hasta dosya kayıtlarından elde edildi. Bulgular: Çalışmaya alınan hastaların 65inde (%0.76) psö- doanevrizma tespit edildi. Risk faktörleri psödoanevrizma komplikasyonu açısından değerlendirildiğinde, psödoanevriz- ma koroner arter hastalığı tespit edilen hastalarda olmayanlara göre (%0.9, %0.4; p=0.012), kadın hastalarda erkek hastalara göre (%1.4, %0.5; p<0.001), 65 yaş üstü hastalarda 65 yaş ve altı hastalara göre (%1.2, %0.6; p=0.002), femoral arter- yel girişim öyküsü olanlarda olmayanlara göre (%1.2, %0.6; p=0.01), hipertansiyon öyküsü olanlarda olmayanlara göre (%1.3, %0.5; p<0.001), düşük molekül ağırlık heparin kullanı- lanlarda kullanılmayanlara göre (%1.0, %0.2; p<0.001), klopi- dogrel alanlarda almayanlara göre (%1.0, %0.4; p=0.007) ve böbrek yetersizliği olanlarda olmayanlara göre (%3.8, %0.7; p<0.001) anlamlı olarak daha fazla ortaya çıkmıştır. Elektif ola- rak yapılan girişimlere göre acil girişimlerde psödoanevrizma oranı daha fazla olarak bulundu (%0.7, %1.2), ancak sonuçlar istatistiksel olarak sınırda anlamlıydı (p=0.053). Sonuç: Femoral arter yoluyla girişim yapılırken psödoanev- rizma gelişimi açısından yüksek riskli hastalar belirlenmeli ve bu gruptaki hastalara girişim daha dikkatli yapılmalı, hastalar bu komplikasyon ve sonuçları açısından bilgilendirilmeli ve gi- rişim sonrası iyatrojenik femoral psödoanevrizma açısından yakın takip edilmelidir.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Kalp ve Kalp Damar Sistemi

Femoral yol ile yapılan kalp kateterizasyonu veya perkütan koroner girişimler sonrası gelişen iyatrojenik femoral psödoanevrizma komplikasyonunun belirteçleri

Öz:

ABSTRACT Objective: This study aimed to define the prevalence and predictors for pseudoaneurysm after coronary angiography, cardiac catheterization and percutaneous coronary interven- tions (PCIs) performed via the femoral artery. Methods: The study included 8469 patients enrolled between January 2007 and December 2009 on whom cardiac catheter- ization, coronary and/or peripheral angiography and PCIs via the femoral artery were performed. All data, including clinical characteristics and complications, were obtained retrospec- tively from patient chart records. Results: Pseudoaneurysm was detected in 65 (0.76%) pa- tients. Pseudoaneurysm was ascertained more frequently in patients with a history of coronary artery disease (0.9% vs. 0.4%; p=0.012), in females than in males (1.4% vs. 0.5%; p<0.001), in patients older than 65 years (1.2% vs. 0.6%; p=0.002), in patients with a history of femoral artery interven- tion (1.2% vs. 0.6%; p=0.01), in hypertensives than in normo- tensives (1.3% vs. 0.5%; p<0.001), in patients taking low mo- lecular weight heparin (1.0% vs. 0.2%; p<0.001), in patients taking clopidogrel (1.0% vs. 0.4%; p=0.007), and in patients with chronic renal disease (3.8% vs. 0.7%; p<0.001). There was no statistically significant trend (1.2% vs. 0.7%; p=0.053) towards more pseudoaneurysm formation in emergent inter- ventions than in elective procedures. Conclusion: Patients with a higher risk of pseudoaneurysm development following intervention via the femoral artery should be specified and extra attention given during the inter- vention. These patients should be informed of the increased risk of this complication and its results, and should be under close follow-up concerning development of iatrogenic femoral pseudoaneurysm.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KOZDAĞ G, YALUĞ İ, İNAN N, Ertas G, SELEKLER H, KUTLU H, Kutlu A, EMRE E, ÇETİN M, URAL D (2015). Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. , 505 - 512.
Chicago	KOZDAĞ Güliz,YALUĞ İrem,İNAN Nagihan,Ertas Gokhan,SELEKLER HAMİT MACİT,KUTLU Hüseyin,Kutlu Ayşe,EMRE Ender,ÇETİN Metin,URAL Dilek Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. (2015): 505 - 512.
MLA	KOZDAĞ Güliz,YALUĞ İrem,İNAN Nagihan,Ertas Gokhan,SELEKLER HAMİT MACİT,KUTLU Hüseyin,Kutlu Ayşe,EMRE Ender,ÇETİN Metin,URAL Dilek Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. , 2015, ss.505 - 512.
AMA	KOZDAĞ G,YALUĞ İ,İNAN N,Ertas G,SELEKLER H,KUTLU H,Kutlu A,EMRE E,ÇETİN M,URAL D Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. . 2015; 505 - 512.
Vancouver	KOZDAĞ G,YALUĞ İ,İNAN N,Ertas G,SELEKLER H,KUTLU H,Kutlu A,EMRE E,ÇETİN M,URAL D Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. . 2015; 505 - 512.
IEEE	KOZDAĞ G,YALUĞ İ,İNAN N,Ertas G,SELEKLER H,KUTLU H,Kutlu A,EMRE E,ÇETİN M,URAL D "Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery." , ss.505 - 512, 2015.
ISNAD	KOZDAĞ, Güliz vd. "Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery". (2015), 505-512.

APA	KOZDAĞ G, YALUĞ İ, İNAN N, Ertas G, SELEKLER H, KUTLU H, Kutlu A, EMRE E, ÇETİN M, URAL D (2015). Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. Türk Kardiyoloji Derneği Arşivi, 43(6), 505 - 512.
Chicago	KOZDAĞ Güliz,YALUĞ İrem,İNAN Nagihan,Ertas Gokhan,SELEKLER HAMİT MACİT,KUTLU Hüseyin,Kutlu Ayşe,EMRE Ender,ÇETİN Metin,URAL Dilek Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. Türk Kardiyoloji Derneği Arşivi 43, no.6 (2015): 505 - 512.
MLA	KOZDAĞ Güliz,YALUĞ İrem,İNAN Nagihan,Ertas Gokhan,SELEKLER HAMİT MACİT,KUTLU Hüseyin,Kutlu Ayşe,EMRE Ender,ÇETİN Metin,URAL Dilek Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. Türk Kardiyoloji Derneği Arşivi, vol.43, no.6, 2015, ss.505 - 512.
AMA	KOZDAĞ G,YALUĞ İ,İNAN N,Ertas G,SELEKLER H,KUTLU H,Kutlu A,EMRE E,ÇETİN M,URAL D Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. Türk Kardiyoloji Derneği Arşivi. 2015; 43(6): 505 - 512.
Vancouver	KOZDAĞ G,YALUĞ İ,İNAN N,Ertas G,SELEKLER H,KUTLU H,Kutlu A,EMRE E,ÇETİN M,URAL D Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery. Türk Kardiyoloji Derneği Arşivi. 2015; 43(6): 505 - 512.
IEEE	KOZDAĞ G,YALUĞ İ,İNAN N,Ertas G,SELEKLER H,KUTLU H,Kutlu A,EMRE E,ÇETİN M,URAL D "Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery." Türk Kardiyoloji Derneği Arşivi, 43, ss.505 - 512, 2015.
ISNAD	KOZDAĞ, Güliz vd. "Determinants of iatrogenic femoral pseudoaneurysm after cardiac catheterization or percutaneous coronary intervention via the femoral artery". Türk Kardiyoloji Derneği Arşivi 43/6 (2015), 505-512.