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Hackl, G; Gary, T; Belaj, K; Hafner, F; Eller, P; Brodmann, M.
Risk Factors for Puncture Site Complications After Endovascular Procedures in Patients With Peripheral Arterial Disease.
Vasc Endovascular Surg. 2015; 49(7):160-165
Doi: 10.1177/1538574415608268
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Hackl Gerald
- Co-Autor*innen der Med Uni Graz
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Belaj Klara
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Brodmann Marianne
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Eller Philipp
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Gary Thomas
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Hafner Franz
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- Abstract:
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To compare femoral access site closure techniques and to highlight risk factors for puncture site complications after lower extremity endovascular procedures.
This retrospective study included 787 patients. Procedures were performed according to a standardized protocol. Puncture site complications within 24 hours were regarded as study end points.
Ninety (11.5%) puncture site complications were registered. Conventional manual compression (n = 87, 11.1%) was significantly associated with puncture site complications (odds ratio [OR] 2.08, P = .03). Body mass index > 25 kg/m(2) (OR 0.54, P = .01) and prothrombin time > 70% (OR 0.38, P = .04) were protective. All bleeding occurred in procedures >45 minutes. Blood pressure >200 mm Hg and below the knee (BTK) procedures were strong predictors for access site complications (OR 4.21, P = .01 and OR 3.33, P = .02).
We observed an inferiority of conventional manual compression. Age, procedure duration > 45 minutes, BTK procedures, uncontrolled hypertension, and impaired coagulation were risk factors.
© The Author(s) 2015.
- Find related publications in this database (using NLM MeSH Indexing)
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Age Factors -
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Aged -
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Angiography, Digital Subtraction -
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Blood Coagulation -
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Blood Coagulation Disorders - blood
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Blood Coagulation Disorders - complications
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Blood Pressure -
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Endovascular Procedures - adverse effects
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Female -
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Femoral Artery - diagnostic imaging
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Hemorrhage - etiology
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Hemorrhage - prevention & control
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Humans -
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Hypertension - complications
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Hypertension - physiopathology
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Logistic Models -
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Male -
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Middle Aged -
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Odds Ratio -
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Peripheral Arterial Disease - diagnostic imaging
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Peripheral Arterial Disease - therapy
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Pressure -
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Protective Factors -
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Punctures - adverse effects
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Retrospective Studies -
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Risk Assessment -
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Risk Factors -
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Time Factors -
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Treatment Outcome -
- Find related publications in this database (Keywords)
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endovascular
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peripheral arterial disease
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complications