Ischemic Complications of Percutaneous Femoral Artery Catheterization

Paul M. Schumacher, Charles B. Ross, Yi Chen Wu, Rafe M. Donahue, Timothy J. Ranval, Jeffery Dattilo, Raul J. Guzman, Thomas C. Naslund

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Ischemic injuries following percutaneous femoral artery catheterization are uncommon but have been associated with vascular closure devices (VCDs). The purpose of this study was to retrospectively compare ischemic and hemorrhagic complications of femoral artery catheterization and to identify factors associated with ischemic injuries. The operative registries of the attending vascular surgeons at one academic and two community hospitals were retrospectively reviewed to identify all complications of femoral artery catheterization requiring operative intervention. Demographic, clinical, procedural, operative, and outcome data were compared between patients who sustained ischemic and hemorrhagic complications. From January 2001 to December 2006, 95 patients required operative management of complications related to femoral artery catheterization including 40 patients who experienced ischemic (group 1) and 55 patients who experienced hemorrhagic (group 2) complications. Compared to those sustaining hemorrhagic complications, ischemic complications were more frequently associated with younger age, smoking, VCD deployment, and, when controlling for VCD use, female gender. Time to presentation was also significantly longer in patients experiencing ischemic complications. Ischemic complications are increasingly recognized following femoral artery catheterization. Vascular surgeons should anticipate a new pattern of injury following femoral artery catheterization, one that often requires complex arterial reconstruction.

    Original languageEnglish (US)
    Pages (from-to)704-712
    Number of pages9
    JournalAnnals of Vascular Surgery
    Volume21
    Issue number6
    DOIs
    StatePublished - Nov 1 2007

    Fingerprint

    Femoral Artery
    Catheterization
    Blood Vessels
    Wounds and Injuries
    Community Hospital
    Registries
    Smoking
    Demography
    Vascular Closure Devices

    All Science Journal Classification (ASJC) codes

    • Surgery
    • Cardiology and Cardiovascular Medicine

    Cite this

    Schumacher, P. M., Ross, C. B., Wu, Y. C., Donahue, R. M., Ranval, T. J., Dattilo, J., ... Naslund, T. C. (2007). Ischemic Complications of Percutaneous Femoral Artery Catheterization. Annals of Vascular Surgery, 21(6), 704-712. https://doi.org/10.1016/j.avsg.2007.05.001

    Ischemic Complications of Percutaneous Femoral Artery Catheterization. / Schumacher, Paul M.; Ross, Charles B.; Wu, Yi Chen; Donahue, Rafe M.; Ranval, Timothy J.; Dattilo, Jeffery; Guzman, Raul J.; Naslund, Thomas C.

    In: Annals of Vascular Surgery, Vol. 21, No. 6, 01.11.2007, p. 704-712.

    Research output: Contribution to journalArticle

    Schumacher, PM, Ross, CB, Wu, YC, Donahue, RM, Ranval, TJ, Dattilo, J, Guzman, RJ & Naslund, TC 2007, 'Ischemic Complications of Percutaneous Femoral Artery Catheterization', Annals of Vascular Surgery, vol. 21, no. 6, pp. 704-712. https://doi.org/10.1016/j.avsg.2007.05.001
    Schumacher PM, Ross CB, Wu YC, Donahue RM, Ranval TJ, Dattilo J et al. Ischemic Complications of Percutaneous Femoral Artery Catheterization. Annals of Vascular Surgery. 2007 Nov 1;21(6):704-712. https://doi.org/10.1016/j.avsg.2007.05.001
    Schumacher, Paul M. ; Ross, Charles B. ; Wu, Yi Chen ; Donahue, Rafe M. ; Ranval, Timothy J. ; Dattilo, Jeffery ; Guzman, Raul J. ; Naslund, Thomas C. / Ischemic Complications of Percutaneous Femoral Artery Catheterization. In: Annals of Vascular Surgery. 2007 ; Vol. 21, No. 6. pp. 704-712.
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