[Incidence of local complications after heart catheter studies and their imaging with intravenous digital subtraction angiography: a retro- and prospective study].
Frequency of local complications following punction of the femoral artery aimed to cardiac catheterisation has been checked with 1051 patients retrospectively as well as 300 patients prospectively. Intravenous DSA was carried out when symptoms like stenotic murmurs, pulsations, hematoma, swelling or resistance within the concerned inguinal region appeared with suspicion diagnose of pseudoaneurysm, arteriovenous fistula or any other complications of vessels. The retrospective study reviewed a rate of complications of 1.62% and the prospective study a rate of 2.7%. The study reviewed that by using of DSA-checkings during a time period of 4 up to 10 month later no rest aneurysm or AV-fistula could be proved. That means a spontaneous thrombose took place with patients without operation indication. Significant connections were found between clinical pathological findings next to the position of punction and the occurrence of local complications. The single symptoms like stenotic murmurs or large hematoma are statistically proved indications to a complication of vessel. There is no connection between findings like pseudoaneurysm or AV-fistula and small hematomas next to the punction position. The intravenous DSA has been proved as easy and proof method with a small quantity of complications for the inclusion and differentiation of local complications following punction of the artery femoral.
Hohlfeld
M
M
Abteilung für Kardiologie/Angiologie, Universität Leipzig.
Lehmann
K
K
D000328:Adult; D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging; D006328:Cardiac Catheterization / Q000295:instrumentation*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D005260:Female; D005263:Femoral Artery / Q000293:injuries*; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies
Die Häufigkeit lokaler Komplikationen nach Herzkatheteruntersuchungen und ihre Darstellung durch intravenöse digitale Subtraktionsangiographie (DSA): Eine retro- und prospektive Studie.