Access-Site Complications in Transfemoral Neuroendovascular Procedures: A Systematic Review of Incidence Rates and Management Strategies
Author(s) -
Mazen Oneissi,
Ahmad Sweid,
Stavropoula Tjoumakaris,
David Hasan,
M. Reid Gooch,
Robert H. Rosenwasser,
Pascal Jabbour
Publication year - 2020
Publication title -
operative neurosurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.791
H-Index - 21
eISSN - 2332-4260
pISSN - 2332-4252
DOI - 10.1093/ons/opaa096
Subject(s) - medicine , pseudoaneurysm , groin , hematoma , surgery , femoral artery , randomized controlled trial , complication , arteriovenous fistula , radiology
The femoral artery is the most common access route for cerebral angiography and neurointerventional procedures. Complications of the transfemoral approach include groin hemorrhages and hematomas, retroperitoneal hematomas, pseudoaneurysms, arteriovenous fistulas, peripheral artery occlusions, femoral nerve injuries, and access-site infections. Incidence rates vary among different randomized and nonrandomized trials, and the literature lacks a comprehensive review of this subject.
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