An audit of vascular surgical intervention for complications of cardiovascular angiography in 2324 patients from a single center.
This study examines the incidence and outcome of complications requiring surgical intervention in a major vascular unit serving interventional radiology and interventional cardiology. Between April 2000 and March 2001, 2324 patients underwent angiographic examinations (male/female = 1579:745, mean age = 68 years, range 45-88). In non-stent patients, a 4-or 5-mm French (4-mm F, 5-mm F) guage nonheparinized arterial catheter was used, and in patients requiring stents a 6- or 7-mm French guage catheter was used. Pressure was applied to the puncture site for up to 6 min. Fifteen complications requiring vascular surgical procedure were recorded during in-hospital follow-up (9 males, 6 females). Our early operative (30-day) mortality rate was 0.086%. Although the number of major complications requiring surgical intervention after interventional or diagnostic cardiovascular radiology is diminishing, vigilance in these cases is still required. Where possible, a small catheter with a J-shaped guidewire should be used and prolonged compression should be brought to bear on the puncture site.
Agaba
A E
AE
Department of Vascular Surgery, Walsgrave Hospital NHS Trust, Coventry, UK. eagaba@hotmail.com
Hardiment
K
K
Burch
N
N
Imray
C H E
CH
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery; D000792:Angiography / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D015994:Incidence; D008297:Male; D008485:Medical Audit / Q000706:statistics & numerical data; D015641:Radiography, Interventional / Q000009:adverse effects*; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures