Risk Factors for Puncture Site Complications After Endovascular Procedures in Patients With Peripheral Arterial Disease. (October 2015)

• Record Type: Journal Article
• Authors: Hackl, Gerald; Gary, Thomas; Belaj, Klara; Hafner, Franz; Eller, Philipp; Brodmann, Marianne
• Is Part Of: Vascular & endovascular surgery. Volume 49:Number 7(2015)
• Page Start: 160
• Page End: 165
• Publication Date: 2015-10
• Subjects: endovascular -- peripheral arterial disease -- complications; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574415608268
• Languages: English
• ISSNs: 1538-5744

Abstract

Objective: To compare femoral access site closure techniques and to highlight risk factors for puncture site complications after lower extremity endovascular procedures. Methods: 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. Results: 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). Conclusions: We observed an inferiority of conventional manual compression. Age, procedure duration > 45 minutes, BTK procedures, uncontrolled hypertension, and impaired coagulation were risk factors.