Surgical treatment of peripheral vascular injuies after cardiac catheterization

Key Findings & Data:Forty-two cases with peripheral vascular injuries requiring surgical therapy after 64.911 cardiac interventions in our center between 1985 and 2002 were evaluated retrospectively.

💡

Conclusion & Impact:Results: The incidence of vascular complications was significantly higher in brachial interventions when compaired with femoral interventions (p

🔬Design:Research Article

📍Scope:2002 Verileri

⚙️Variables:Domain Parameters

Abstract

Objective: Diagnostic and therapeutic cardiac interventions have being performed in expanding numbers during last years. Forty-two cases with peripheral vascular injuries requiring surgical therapy after 64.911 cardiac interventions in our center between 1985 and 2002 were evaluated retrospectively. Methods: Thirty-three of vascular injuries (78.6%) occurred after angiography/catheterization, and the remaining vascular injuries (21.4%) occurred after angioplasty/stent procedures. There were 12 female (28.6%) and 30 male (71.4%). The mean age was 51.3±4.1 years. The localization of the arterial injuries were femoral region in 37 cases (88.1%) and brachial region in 5 cases (11.9%). The complications were recorded as arterial thrombosis in 19 cases, pseudoaneurysm in 14 cases, hematoma in 5 cases, arteriovenous fistula in 2 cases, deformed stent stuck in 2 cases. Arterial injuries were treated by performing embolectomy in 16 cases, embolectomy and saphenous patch plasty in 3 cases, resection of pseudoaneurysm and PTFE patch plasty in 1 case, draining of hematoma and primary repair in 5 cases, primary repair of femoral arteriovenous fistula in 2 cases and removal of the deformed stent from femoral artery in 2 cases. Results: The incidence of vascular complications was significantly higher in brachial interventions when compaired with femoral interventions (p

Özet

Amaç: Tanı ve tedavi amacıyla yapılan kardiyak kateterizasyon girişimleri giderek artan sayılarda yapılmaktadır. Merkezimizde 1985 ile 2002 yılları arasında yapılan 64.911 kardiyak kateterizasyon girişimi sonrası cerrahi onarım gerektiren 42 periferik vasküler yaralanma olgusu retrospektif olarak incelenmiştir. Yöntem: Vasküler komplikasyon 33 olguda (%78.6) anjiyografi/kateterizasyon sonrası, 9 olguda (%21.4) anjiyoplasti/stent girişimi sonrası gelişmiştir. Hastalardan 12 olgu kadın (%28.6), 30 olgu erkek (%71.4) idi, ortalama yaş 51.3±4.1 yıl bulundu. Arteriyel yaralanma yeri 37 olguda (%88.1) femoral, 5 olguda (%11.9) brakiyal bölgeydi. Komplikasyonlar 19 olguda arteriyel tromboz, 14 olguda psödoanevrizma, 5 olguda hematom, 2 olguda arteriyovenöz fistül, 2 olguda deforme stentin femoral arterde takılı kalması şeklinde gelişti. On altı olguya embolektomi, 3 olguya embolektomi+safen "patch plasty", 13 olguya psödoanevrizmanın primer onarımı, 1 olguya psödoanevrizmanın rezeksiyonu+PTFE "patch plasty", 5 olguya hematom boşaltılması+primer onarım, 2 olguya femoral arteriyovenöz fistülün primer onarımı, 2 olguya deforme stentin femoral arterden çıkartılması girişimleri uygulandı.Bulgular: Vasküler komplikasyon görülme sıklığı brakiyal girişim yapılanlarda, femoral girişim yapılanlara göre istatistiksel olarak fazla idi (p

🔖

Cite This Article

KIRALİ, K., MATARACI, İ., BOZBUĞA, N., MANSUROĞLU, D., ERENTUĞ, V., AKINCI, E., YAKUT, C., ERDOĞAN, H. B. (2022). Surgical treatment of peripheral vascular injuies after cardiac catheterization. Anadolu Kardiyoloji Dergisi, Cilt: 3 - Sayı: 3, 216–220. https://ajindex.com/articles/437489

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (17)

Hallet JW. Iatrogenic complications of arterial and venous catheterization. In: Rutherford RB, editor. Vascular Surgery. Philadelphia: W.B. Saunders Co.; 1995. p.1259-60
Messina LM, Brothers TE, Wakefield TW, et al. Clinical characteristics and surgical management of vascular complications in patients undergoing cardiac catheterization: interventional versus diagnostic procedures. J Vasc Surg 1991;13:593-600
Lazarides Mk, Arvanitis DP, Liatas AC, Dayantas JN. Iatrogenic ve non iatrogenic arterial trauma: comparative study. Eur J Surg 1991;157:17-20
Orcutt MB, Barry AL, Horald VG, Kenneth RS. Iatrogenik vascular injury. Arch Surg 1985;120:334-5
Felliciano DV, Bitondo CG, Maltox KL, et al. Civilian trauma in the 1980’s. Ann Surg 1984;199:717-21
Hessel SJ, Adams DF, Abrams HL. Complications of angiography. Radiology 1981;138:273-80
Yılmaz AT, Erdöl C, Demirkılıç U ve ark. Kardiak kateterizasyonun vasküler komplikasyonları. Damar Cerrahisi Dergisi 1996; 1: 16-9
Waller DA, Sivanonthan UM, Diament RH, Kester RC, Rees MR. Iatrogenic vascular injury following arterial cannulation: the importance of early surgery. Cardiovasc Surg 1993; 1:251-3
Fruhwirt J, Pacher O, Hauser H, Amann W. Local vascular complications after iatrogenic femoral artery puncture. Wien Klin Wochenschr 1996;108:196-200
Bozkurt K, Beşerli K, Korkmaz A ve ark. İatrojenik damar yaralanmaları. Damar Cerrahisi Dergisi 1995; 4: 128-30
Dernek S, Tünerir B, Yavuz B ve ark. İatrojenik arter yaralanmaları. Damar Cerrahisi Dergisi 1999; 1: 28-31
Johnson LW, Lozner EC, Johnson S, et al. Coronary arteriography 1984-1987: a report of the Registry of the Society for Cardiac Angiography and Interventions. I. Results and Complications. Cathet Cardiovasc Diagn 1989; 17: 5-10
Johns JP, Pupa LE Jr, Bailey SR. Spontaneous thrombosis of iatrogenic femoral artery pseudoanerysms: documentation with color Doppler and two-dimensional ultrasonography. J Vasc Surg 1991;14:24-9
Kotval PS, Khoury A, Shah PM, Babu SC. Doppler sonographic demonstration of the progressive spontaneous thrombosis of pseudoaneurysm. J Ultrasound Med 1990;9:185-90
Rivers SP, Lee ES, Lyon RT, et al. Successful conservative management of iatrogenic femoral arterial trauma. Ann Vasc Surg 1992;6:45-9
Pietri P, Alagni G, Setembrini PG, et al. Iatrogenic vascular lesions. Int Surg 1981;66:2133-216
Oto Ö, Acıkel Ü, Uğurlu B, Çatalyürek H. Tanı ve tedavi amacıyla yapılan girişimse