title: Pocket-size imaging devices allow for reliable bedside screening for femoral artery access site complications.
abstract: The aim of this study was to validate pocket-size imaging devices (PSIDs) as a fast screening tool for detecting complications after femoral artery puncture. Forty patients undergoing femoral artery puncture for arterial access related to percutaneous coronary intervention were enrolled. Twenty-four hours after percutaneous coronary intervention, the involved inguinal region was assessed with PSIDs enabling 2-D gray-scale and color Doppler imaging. Subsequently, examination with a stationary high-end ultrasound system was performed to verify the findings of bedside examination in all patients. In 37 patients, PSID imaging had good diagnostic quality. False aneurysms (one asymptomatic) occurred in four patients, and all were recognized during bedside screening with PSID. One case of femoral artery thrombosis was confirmed with PSID and during standard ultrasonographic examination. Physical examination augmented with the quick bedside PSID examination had a sensitivity of 100% and specificity of 91%. PSID facilitated rapid bedside detection of serious access site complications in the vast majority of patients, including asymptomatic cases.
authors.affiliation: Department of Cardiology, Medical University of Lodz, Lodz, Poland. Electronic address: dominika.filipiak@gmail.com.
authors.forename: Dominika
authors.initials: D
authors.lastname: Filipiak-Strzecka
authors.affiliation: Department of Cardiology, Medical University of Lodz, Lodz, Poland.
authors.forename: Błażej
authors.initials: B
authors.lastname: Michalski
authors.affiliation: Department of Cardiology, Medical University of Lodz, Lodz, Poland.
authors.forename: Jarosław D
authors.initials: JD
authors.lastname: Kasprzak
authors.affiliation: Department of Cardiology, Medical University of Lodz, Lodz, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Lipiec
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008904:Miniaturization; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects; D019095:Point-of-Care Systems; D011677:Punctures / Q000009:adverse effects*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology*; D016896:Treatment Outcome; D014463:Ultrasonography
keywords: Femoral artery puncture; Pocket-size imaging devices; Pseudo-aneurysm