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Sonographic Follow‐up of the Access Site After Arterial Angiography
Author(s) -
Meis Alexandra,
Osada Nani,
Schlegel Philip M.,
Fischbach Roman,
Heindel Walter,
Kloska Stephan P.
Publication year - 2009
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.2009.28.9.1151
Subject(s) - medicine , pseudoaneurysm , hematoma , angiography , thrombosis , arterial dissection , arteriovenous fistula , radiology , surgery , univariate analysis , dissection (medical) , venous thrombosis , aneurysm , multivariate analysis
Objective. This study prospectively evaluated the impact of sonographic follow‐up on the detection rate of access site complications in arterial angiography and determined parameters associated with major complications of the access site after arterial angiography. Methods. Sonographic follow‐up (mean ± SD, 1.46 ± 1.11 days after) of the access site (transfemoral, n = 896; and transbrachial, n = 44) was obtained prospectively in 940 arterial angiographies and included evaluations for hematoma, pseudoaneurysm, arteriovenous fistula, arterial dissection, and venous/arterial thrombosis. Clotting parameters, anticoagulation therapy, and several patient and procedure characteristics were recorded. Univariate and multivariate logistic regression analyses were performed. Results. Sonography depicted major access site complications in 39 of 940 angiographies (4.2%). Major access site complications (major local hematoma, n = 13; retroperitoneal hematoma, n = 1; pseudoaneurysm, n = 18; arterial dissection, n = 1; arteriovenous fistula, n = 1; arterial thrombosis, n = 2; and venous thrombosis, n = 3) required conservative (n = 32 [3.4%]) or surgical (n = 7 [0.7%]) treatment. Independent factors significantly associated with major access site complications were age older than 60.33 years and sheath size greater than 5F ( P < .05). Conclusions. Major access site complications were detected in 4.2% of cases and were significantly associated with age and sheath size.