title: Femoral pseudoaneurysm in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction: incidence, clinical course and risk factors.
abstract: OBJECTIVE
  Various peripheral vascular complications may be observed after cardiac catheterization. However, no data are available about femoral pseudoaneurysm (FPA) after urgent primary percutaneous coronary intervention (PCI). We sought to determine the in-hospital incidence, clinical course and predictors of FPA in patients with ST elevation myocardial infarction (STEMI) undergoing primary PCI.
  
  
  METHODS
  Two thousand six hundred consecutive STEMI patients (mean age: 56.5 ± 11.7 years; 2158 men) undergoing primary PCI were retrospectively enrolled into this study. Patients were evaluated with Doppler ultrasonography following PCI and categorized into two groups according to whether FPA developed or not. All the parameters were compared between FPA and non-FPA groups.
  
  
  RESULTS
  The incidence of FPA after primary PCI was determined to be 2.3%. The mean age was higher in the FPA group compared to the non-FPA group (mean age: 60.6 ± 11.6 vs. 56.5 ± 11.8, respectively, P=0.007). Furthermore, the FPA developing group experienced prolonged hospitalizations compared to the non-FPA group, but no differences in in-hospital or long term mortality were noticed. In the multivariate analysis of this study, female gender and age (>75 years), after primary PCI, were found to be independent predictors of FPA.
  
  
  CONCLUSIONS
  High incidence of FPA was noticed in STEMI patients undergoing primary PCI, which prolonged in-hospital stay. Extra care must be given, especially to women and those who are >75 years of age, for this complication.
authors.affiliation: Department of Cardiology, School of Medicine, Balikesir University, Turkey. erkayh@gmail.com
authors.forename: E
authors.initials: E
authors.lastname: Ayhan
authors.forename: T
authors.initials: T
authors.lastname: Isik
authors.forename: H
authors.initials: H
authors.lastname: Uyarel
authors.forename: R
authors.initials: R
authors.lastname: Ergelen
authors.forename: G
authors.initials: G
authors.lastname: Cicek
authors.forename: B
authors.initials: B
authors.lastname: Ghannadian
authors.forename: I
authors.initials: I
authors.lastname: Halil Tanboga
authors.forename: M
authors.initials: M
authors.lastname: Ergelen
authors.forename: M
authors.initials: M
authors.lastname: Eren
mesh_terms: D000367:Age Factors; D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D016009:Chi-Square Distribution; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009203:Myocardial Infarction / Q000628:therapy*; D016017:Odds Ratio; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D016016:Proportional Hazards Models; D011677:Punctures; D011859:Radiography; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey; D018608:Ultrasonography, Doppler; D057772:Vascular System Injuries / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy