Prospective study evaluating technical and clinical outcomes from the use of low profile angioplasty (LOPA) systems
Aim To compare the success and complication associated with 4 and 5 F access systems prospectively in the treatment of infra-inguinal vascular disease. Materials and methods One hundred and twenty consecutive patients were treated for lower limb vascular disease via a 4 F ( n = 60) or 5 F ( n = 60...
Gespeichert in:
| Veröffentlicht in: | Clinical radiology 2013-06, Vol.68 (6), p.562-567 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 567 |
|---|---|
| container_issue | 6 |
| container_start_page | 562 |
| container_title | Clinical radiology |
| container_volume | 68 |
| creator | Tapping, C.R Little, M.W Briggs, J.H Woodhouse, J.B Dixon, S Anthony, S Uberoi, R Bratby, M.J |
| description | Aim To compare the success and complication associated with 4 and 5 F access systems prospectively in the treatment of infra-inguinal vascular disease. Materials and methods One hundred and twenty consecutive patients were treated for lower limb vascular disease via a 4 F ( n = 60) or 5 F ( n = 60) access sheath over a 12 month period. All common femoral arteries were punctured in an antegrade direction with ultrasound guidance. Seven minutes of manual compression was applied and the groin assessed with ultrasound to document complications. Repeated manual compression was applied until haemostasis was achieved in all cases. Time to haemostasis, equipment used, patient biochemical data, and demographics were recorded. Patients were followed-up at a mean of 12 weeks post-procedure. Results Antegrade access and sheath insertion was achieved in all cases. The technical success of the procedure was 56/60 (93%) cases using 4 F access and 57 (95%) cases using 5 F access. The time to haemostasis was reduced to a mean of 8.2 min (range 7–12 min) with a 4 F system compared to a mean of 12 min (range 7–30 minutes) with a 5 F system ( p = 0.045). Overall there were 12 complications (10%; 11 |
| doi_str_mv | 10.1016/j.crad.2012.11.004 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1349092018</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0009926012005739</els_id><sourcerecordid>1349092018</sourcerecordid><originalsourceid>FETCH-LOGICAL-c362t-1c1a6f12fd2309d2c8ea6eb6454ab035b788ad32051bb4185248975261a88c943</originalsourceid><addsrcrecordid>eNp9kU9r3DAQxUVpabZpv0APRcfkYFczsr02lEII_QcLCbSF3oQsjxNtbWsryVv87SuzSQ899DQMvPeY-T3GXoPIQUD1dp8br7scBWAOkAtRPGEbkFWZITY_nrKNEKLJGqzEGXsRwn5dCyyeszOUErDa4oaFW-_CgUy0R-Ihzt3C6aiHWUc73fFI5n6yRg9cTx03gz0tbo7GjRR4793I4z3xORB3PR_cb37wrrcDJceddYdBh7jwi93N7dUlD0uINIaX7Fmvh0CvHuY5-_7xw7frz9nu5tOX66tdZmSFMQMDuuoB-w6laDo0NemK2qooC90KWbbbutadRFFC2xZQl1jUzbbECnRdm6aQ5-zilJtO-jVTiGq0wdAw6IncHBTIohFNwlcnKZ6kJuEInnp18HbUflEg1Apb7dUKW62wFYBKsJPpzUP-3I7U_bU80k2CdycBpS-PlrwKxtJkqLM-IVeds__Pf_-P_bGBn7RQ2LvZT4mfAhVQCfV17XdtG1CIcisb-Qfxh6V4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1349092018</pqid></control><display><type>article</type><title>Prospective study evaluating technical and clinical outcomes from the use of low profile angioplasty (LOPA) systems</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Tapping, C.R ; Little, M.W ; Briggs, J.H ; Woodhouse, J.B ; Dixon, S ; Anthony, S ; Uberoi, R ; Bratby, M.J</creator><creatorcontrib>Tapping, C.R ; Little, M.W ; Briggs, J.H ; Woodhouse, J.B ; Dixon, S ; Anthony, S ; Uberoi, R ; Bratby, M.J</creatorcontrib><description>Aim To compare the success and complication associated with 4 and 5 F access systems prospectively in the treatment of infra-inguinal vascular disease. Materials and methods One hundred and twenty consecutive patients were treated for lower limb vascular disease via a 4 F ( n = 60) or 5 F ( n = 60) access sheath over a 12 month period. All common femoral arteries were punctured in an antegrade direction with ultrasound guidance. Seven minutes of manual compression was applied and the groin assessed with ultrasound to document complications. Repeated manual compression was applied until haemostasis was achieved in all cases. Time to haemostasis, equipment used, patient biochemical data, and demographics were recorded. Patients were followed-up at a mean of 12 weeks post-procedure. Results Antegrade access and sheath insertion was achieved in all cases. The technical success of the procedure was 56/60 (93%) cases using 4 F access and 57 (95%) cases using 5 F access. The time to haemostasis was reduced to a mean of 8.2 min (range 7–12 min) with a 4 F system compared to a mean of 12 min (range 7–30 minutes) with a 5 F system ( p = 0.045). Overall there were 12 complications (10%; 11 <2 cm haematomas and one pseudoaneurysm) noted on ultrasound post-haemostasis, although there was no statistically significance difference between the two groups. Hypertension and renal dysfunction were associated with complications ( p < 0.05). A 4 F system used an additional average of 5.1 (range 3–8) wires and catheters compared to an additional average of 3.5 (range 2–6) wires and catheters when using a 5 F system ( p = 0.002). A 4 F technique cost three-times that of a 5 F technique. Conclusion Four and 5 F access sheaths allow safe and successful infra-inguinal angioplasty with a low complication rate. Hypertensive patients and those with impaired renal function are at increased risk of complications. There are increasing costs using a 4 F system offset by a decrease in time to haemostasis following manual compression but no reduction in complication rate.</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1016/j.crad.2012.11.004</identifier><identifier>PMID: 23312672</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty - methods ; Female ; Femoral Artery - surgery ; Hemostasis, Surgical ; Humans ; Male ; Middle Aged ; Prospective Studies ; Radiology ; Treatment Outcome ; Ultrasonography, Interventional</subject><ispartof>Clinical radiology, 2013-06, Vol.68 (6), p.562-567</ispartof><rights>The Royal College of Radiologists</rights><rights>2012 The Royal College of Radiologists</rights><rights>Copyright © 2012 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c362t-1c1a6f12fd2309d2c8ea6eb6454ab035b788ad32051bb4185248975261a88c943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0009926012005739$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23312672$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tapping, C.R</creatorcontrib><creatorcontrib>Little, M.W</creatorcontrib><creatorcontrib>Briggs, J.H</creatorcontrib><creatorcontrib>Woodhouse, J.B</creatorcontrib><creatorcontrib>Dixon, S</creatorcontrib><creatorcontrib>Anthony, S</creatorcontrib><creatorcontrib>Uberoi, R</creatorcontrib><creatorcontrib>Bratby, M.J</creatorcontrib><title>Prospective study evaluating technical and clinical outcomes from the use of low profile angioplasty (LOPA) systems</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>Aim To compare the success and complication associated with 4 and 5 F access systems prospectively in the treatment of infra-inguinal vascular disease. Materials and methods One hundred and twenty consecutive patients were treated for lower limb vascular disease via a 4 F ( n = 60) or 5 F ( n = 60) access sheath over a 12 month period. All common femoral arteries were punctured in an antegrade direction with ultrasound guidance. Seven minutes of manual compression was applied and the groin assessed with ultrasound to document complications. Repeated manual compression was applied until haemostasis was achieved in all cases. Time to haemostasis, equipment used, patient biochemical data, and demographics were recorded. Patients were followed-up at a mean of 12 weeks post-procedure. Results Antegrade access and sheath insertion was achieved in all cases. The technical success of the procedure was 56/60 (93%) cases using 4 F access and 57 (95%) cases using 5 F access. The time to haemostasis was reduced to a mean of 8.2 min (range 7–12 min) with a 4 F system compared to a mean of 12 min (range 7–30 minutes) with a 5 F system ( p = 0.045). Overall there were 12 complications (10%; 11 <2 cm haematomas and one pseudoaneurysm) noted on ultrasound post-haemostasis, although there was no statistically significance difference between the two groups. Hypertension and renal dysfunction were associated with complications ( p < 0.05). A 4 F system used an additional average of 5.1 (range 3–8) wires and catheters compared to an additional average of 3.5 (range 2–6) wires and catheters when using a 5 F system ( p = 0.002). A 4 F technique cost three-times that of a 5 F technique. Conclusion Four and 5 F access sheaths allow safe and successful infra-inguinal angioplasty with a low complication rate. Hypertensive patients and those with impaired renal function are at increased risk of complications. There are increasing costs using a 4 F system offset by a decrease in time to haemostasis following manual compression but no reduction in complication rate.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty - methods</subject><subject>Female</subject><subject>Femoral Artery - surgery</subject><subject>Hemostasis, Surgical</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Interventional</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9r3DAQxUVpabZpv0APRcfkYFczsr02lEII_QcLCbSF3oQsjxNtbWsryVv87SuzSQ899DQMvPeY-T3GXoPIQUD1dp8br7scBWAOkAtRPGEbkFWZITY_nrKNEKLJGqzEGXsRwn5dCyyeszOUErDa4oaFW-_CgUy0R-Ihzt3C6aiHWUc73fFI5n6yRg9cTx03gz0tbo7GjRR4793I4z3xORB3PR_cb37wrrcDJceddYdBh7jwi93N7dUlD0uINIaX7Fmvh0CvHuY5-_7xw7frz9nu5tOX66tdZmSFMQMDuuoB-w6laDo0NemK2qooC90KWbbbutadRFFC2xZQl1jUzbbECnRdm6aQ5-zilJtO-jVTiGq0wdAw6IncHBTIohFNwlcnKZ6kJuEInnp18HbUflEg1Apb7dUKW62wFYBKsJPpzUP-3I7U_bU80k2CdycBpS-PlrwKxtJkqLM-IVeds__Pf_-P_bGBn7RQ2LvZT4mfAhVQCfV17XdtG1CIcisb-Qfxh6V4</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Tapping, C.R</creator><creator>Little, M.W</creator><creator>Briggs, J.H</creator><creator>Woodhouse, J.B</creator><creator>Dixon, S</creator><creator>Anthony, S</creator><creator>Uberoi, R</creator><creator>Bratby, M.J</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130601</creationdate><title>Prospective study evaluating technical and clinical outcomes from the use of low profile angioplasty (LOPA) systems</title><author>Tapping, C.R ; Little, M.W ; Briggs, J.H ; Woodhouse, J.B ; Dixon, S ; Anthony, S ; Uberoi, R ; Bratby, M.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-1c1a6f12fd2309d2c8ea6eb6454ab035b788ad32051bb4185248975261a88c943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty - methods</topic><topic>Female</topic><topic>Femoral Artery - surgery</topic><topic>Hemostasis, Surgical</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tapping, C.R</creatorcontrib><creatorcontrib>Little, M.W</creatorcontrib><creatorcontrib>Briggs, J.H</creatorcontrib><creatorcontrib>Woodhouse, J.B</creatorcontrib><creatorcontrib>Dixon, S</creatorcontrib><creatorcontrib>Anthony, S</creatorcontrib><creatorcontrib>Uberoi, R</creatorcontrib><creatorcontrib>Bratby, M.J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tapping, C.R</au><au>Little, M.W</au><au>Briggs, J.H</au><au>Woodhouse, J.B</au><au>Dixon, S</au><au>Anthony, S</au><au>Uberoi, R</au><au>Bratby, M.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective study evaluating technical and clinical outcomes from the use of low profile angioplasty (LOPA) systems</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>68</volume><issue>6</issue><spage>562</spage><epage>567</epage><pages>562-567</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><abstract>Aim To compare the success and complication associated with 4 and 5 F access systems prospectively in the treatment of infra-inguinal vascular disease. Materials and methods One hundred and twenty consecutive patients were treated for lower limb vascular disease via a 4 F ( n = 60) or 5 F ( n = 60) access sheath over a 12 month period. All common femoral arteries were punctured in an antegrade direction with ultrasound guidance. Seven minutes of manual compression was applied and the groin assessed with ultrasound to document complications. Repeated manual compression was applied until haemostasis was achieved in all cases. Time to haemostasis, equipment used, patient biochemical data, and demographics were recorded. Patients were followed-up at a mean of 12 weeks post-procedure. Results Antegrade access and sheath insertion was achieved in all cases. The technical success of the procedure was 56/60 (93%) cases using 4 F access and 57 (95%) cases using 5 F access. The time to haemostasis was reduced to a mean of 8.2 min (range 7–12 min) with a 4 F system compared to a mean of 12 min (range 7–30 minutes) with a 5 F system ( p = 0.045). Overall there were 12 complications (10%; 11 <2 cm haematomas and one pseudoaneurysm) noted on ultrasound post-haemostasis, although there was no statistically significance difference between the two groups. Hypertension and renal dysfunction were associated with complications ( p < 0.05). A 4 F system used an additional average of 5.1 (range 3–8) wires and catheters compared to an additional average of 3.5 (range 2–6) wires and catheters when using a 5 F system ( p = 0.002). A 4 F technique cost three-times that of a 5 F technique. Conclusion Four and 5 F access sheaths allow safe and successful infra-inguinal angioplasty with a low complication rate. Hypertensive patients and those with impaired renal function are at increased risk of complications. There are increasing costs using a 4 F system offset by a decrease in time to haemostasis following manual compression but no reduction in complication rate.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>23312672</pmid><doi>10.1016/j.crad.2012.11.004</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0009-9260 |
| ispartof | Clinical radiology, 2013-06, Vol.68 (6), p.562-567 |
| issn | 0009-9260 1365-229X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1349092018 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Aged, 80 and over Angioplasty - methods Female Femoral Artery - surgery Hemostasis, Surgical Humans Male Middle Aged Prospective Studies Radiology Treatment Outcome Ultrasonography, Interventional |
| title | Prospective study evaluating technical and clinical outcomes from the use of low profile angioplasty (LOPA) systems |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-18T21%3A48%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prospective%20study%20evaluating%20technical%20and%20clinical%20outcomes%20from%20the%20use%20of%20low%20profile%20angioplasty%20(LOPA)%20systems&rft.jtitle=Clinical%20radiology&rft.au=Tapping,%20C.R&rft.date=2013-06-01&rft.volume=68&rft.issue=6&rft.spage=562&rft.epage=567&rft.pages=562-567&rft.issn=0009-9260&rft.eissn=1365-229X&rft_id=info:doi/10.1016/j.crad.2012.11.004&rft_dat=%3Cproquest_cross%3E1349092018%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1349092018&rft_id=info:pmid/23312672&rft_els_id=1_s2_0_S0009926012005739&rfr_iscdi=true |