[Diagnosis of vascular complications at the puncture site after cardiac catheterization].
OBJECTIVE
Cardiac catheterization is increasingly used for the diagnosis or treatment of coronary artery disease. Previous studies that revealed the incidence of complications such as arteriovenous fistula and pseudoaneurysm were based on retrospective analysis of cohorts referred to vascular surgery. This study was designed to determine the incidence of arteriovenous fistula and pseudoaneurysm after percutaneous transluminal angiography.


METHODS
All 557 consecutive patients undergoing cardiac catheterization were examined by ultrasonography from March 1, 2001 to April 1, 2002, to investigate the occurrence of arteriovenous fistula and pseudoaneurysm at the puncture site.


RESULTS
Pseudoaneurysm was found in 16 patients (2.9%), and arteriovenous fistula in 12 patients (2.2%). Pseudoaneurysm in 7 patients (43.8%) and arteriovenous fistula in 6 patients (50.0%) were diagnosed only by ultrasonic examination. There were more female patients (9 patients, 56.3%) than male with pseudoaneurysm (p < 0.01). The puncture site was located after the division of the deep femoral artery and superficial femoral artery in all patients with complications.


CONCLUSIONS
Ultrasonic examination was useful for diagnosis of complications such as arteriovenous fistula and pseudoaneurysm after cardiac catheterization.
Hirano
Yutaka
Y
Department of Cardiology, Kinki University School of Medicine, Ohnohigashi 377-2, Osakasayama, Osaka 589-8511.
Ikuta
Shinichiro
S
Uehara
Hisakazu
H
Nakamura
Hajime
H
Taniguchi
Mitsugu
M
Kimura
Akio
A
Hayashi
Takahiro
T
Kotani
Atsushi
A
Oku
Kumiko
K
Tsuji
Yumiko
Y
Matsumoto
Mikie
M
Ishikawa
Kinji
K
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005263:Femoral Artery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014463:Ultrasonography