title: Vascular puncture site complications - diagnosis, therapy, and prognosis.
abstract: The numbers of endovascular procedures have been noted to substantially increase over the past two decades. Besides all the technical advances and the increasing skills of more and more trained interventionists, the vascular access site still offers the possibilities and carries the risk of access site complications, which have not been changed dramatically over the past years. Guidelines on the vascular puncture procedure itself are lacking. Complications at different vascular access sites presentclinically different, require different diagnostic work up and therapy. The aim of the following review is to systematically list the most likely vascular access site complications their diagnosis and if necessary the proper treatment.
authors.affiliation: 1 General Hospital Vienna, Department of Internal Medicine II, Medical University of Vienna, Austria.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Mlekusch
authors.affiliation: 2 Wilhelminenspital, Department for Vascular Surgery, Vienna, Austria.
authors.forename: Irene
authors.initials: I
authors.lastname: Mlekusch
authors.affiliation: 1 General Hospital Vienna, Department of Internal Medicine II, Medical University of Vienna, Austria.
authors.forename: Schila
authors.initials: S
authors.lastname: Sabeti-Sandor
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002406:Catheterization, Peripheral / Q000009:adverse effects* / Q000295:instrumentation; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D011677:Punctures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D065506:Vascular Closure Devices / Q000009:adverse effects; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
keywords: Vascular access site; hematoma; pseudoaneurysm; puncture-related iatrogenic complication