Trends in Vascular Complications After Diagnostic Cardiac Catheterization and Percutaneous Coronary Intervention Via the Femoral Artery, 1998 to 2007
Trends in Vascular Complications After Diagnostic Cardiac Catheterization and Percutaneous Coronary Intervention Via the Femoral Artery, 1998 to 2007 Robert J. Applegate, Matthew T. Sacrinty, Michael A. Kutcher, Frederic R. Kahl, Sanjay K. Gandhi, Renato M. Santos, William C. Little We evaluated tre...
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| Veröffentlicht in: | JACC. Cardiovascular interventions 2008-06, Vol.1 (3), p.317-326 |
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| creator | Applegate, Robert J., MD, FACC Sacrinty, Matthew T., MPH Kutcher, Michael A., MD, FACC Kahl, Frederic R., MD, FACC Gandhi, Sanjay K., MD, FACC Santos, Renato M., MD, FACC Little, William C., MD, FACC |
| description | Trends in Vascular Complications After Diagnostic Cardiac Catheterization and Percutaneous Coronary Intervention Via the Femoral Artery, 1998 to 2007 Robert J. Applegate, Matthew T. Sacrinty, Michael A. Kutcher, Frederic R. Kahl, Sanjay K. Gandhi, Renato M. Santos, William C. Little We evaluated trends in vascular complications after diagnostic cardiac catheterization (CATH), n = 20,277, and percutaneous coronary intervention (PCI), n = 14,239, from the femoral artery from 1998 to 2007. Overall, the incidence of any vascular complication decreased significantly for CATH, 1.7% versus 0.2%, and PCI, 3.1% versus 1.0%, from 1998 to 2007, both p < 0.001 for trend. Favorable trends in potentially harmful procedural covariates contributed to the decrease in the incidence of vascular complications, including fewer closure device failures and use of smaller sheath sizes. These findings suggest that strategies to reduce vascular complications can be effective in improving the safety of these procedures. |
| doi_str_mv | 10.1016/j.jcin.2008.03.013 |
| format | Article |
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Applegate, Matthew T. Sacrinty, Michael A. Kutcher, Frederic R. Kahl, Sanjay K. Gandhi, Renato M. Santos, William C. Little We evaluated trends in vascular complications after diagnostic cardiac catheterization (CATH), n = 20,277, and percutaneous coronary intervention (PCI), n = 14,239, from the femoral artery from 1998 to 2007. Overall, the incidence of any vascular complication decreased significantly for CATH, 1.7% versus 0.2%, and PCI, 3.1% versus 1.0%, from 1998 to 2007, both p < 0.001 for trend. Favorable trends in potentially harmful procedural covariates contributed to the decrease in the incidence of vascular complications, including fewer closure device failures and use of smaller sheath sizes. These findings suggest that strategies to reduce vascular complications can be effective in improving the safety of these procedures.</description><identifier>ISSN: 1936-8798</identifier><identifier>EISSN: 1876-7605</identifier><identifier>DOI: 10.1016/j.jcin.2008.03.013</identifier><identifier>PMID: 19463320</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Angioplasty, Balloon, Coronary - adverse effects ; Angioplasty, Balloon, Coronary - methods ; Cardiac Catheterization - adverse effects ; Cardiac Catheterization - methods ; Cardiovascular ; Female ; Femoral Artery ; Humans ; Incidence ; Logistic Models ; Male ; Middle Aged ; Prevalence ; Risk Assessment ; Risk Factors ; Time Factors ; Vascular Diseases - epidemiology ; Vascular Diseases - etiology</subject><ispartof>JACC. 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Cardiovascular interventions</title><addtitle>JACC Cardiovasc Interv</addtitle><description>Trends in Vascular Complications After Diagnostic Cardiac Catheterization and Percutaneous Coronary Intervention Via the Femoral Artery, 1998 to 2007 Robert J. Applegate, Matthew T. Sacrinty, Michael A. Kutcher, Frederic R. Kahl, Sanjay K. Gandhi, Renato M. Santos, William C. Little We evaluated trends in vascular complications after diagnostic cardiac catheterization (CATH), n = 20,277, and percutaneous coronary intervention (PCI), n = 14,239, from the femoral artery from 1998 to 2007. Overall, the incidence of any vascular complication decreased significantly for CATH, 1.7% versus 0.2%, and PCI, 3.1% versus 1.0%, from 1998 to 2007, both p < 0.001 for trend. Favorable trends in potentially harmful procedural covariates contributed to the decrease in the incidence of vascular complications, including fewer closure device failures and use of smaller sheath sizes. These findings suggest that strategies to reduce vascular complications can be effective in improving the safety of these procedures.</description><subject>Aged</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Angioplasty, Balloon, Coronary - methods</subject><subject>Cardiac Catheterization - adverse effects</subject><subject>Cardiac Catheterization - methods</subject><subject>Cardiovascular</subject><subject>Female</subject><subject>Femoral Artery</subject><subject>Humans</subject><subject>Incidence</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Vascular Diseases - epidemiology</subject><subject>Vascular Diseases - etiology</subject><issn>1936-8798</issn><issn>1876-7605</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks-KFDEQxhtR3HX1BTxITp7sttLpyR8QYRhdXVhQcN1rSCdpTdudjEl6YXwP39f0zoDgwVMF6vcV-eqrqnqOocGA6euxGbXzTQvAGyANYPKgOsec0ZpR2Dwsb0FozZngZ9WTlEYACoK1j6szLDpKSAvn1e-baL1JyHl0q5JeJhXRLsz7yWmVXfAJbYdsI3rn1DcfUnYa7VQ0Tq01f7el537dk0h5gz7bqJesvA1LKnNi8Coe0JUv2J3199itU6gI0aWdQ1QT2sbSPLxCWAiOckDFDntaPRrUlOyzU72ovl6-v9l9rK8_fbjaba9rvcFdrjkVauhpp7Hp8NAyrBjpNev7De2xanveKaINp0C44ERTwKYVWrGu74QyvSIX1cvj3H0MPxebspxd0naajg4kpQxDy0UB2yOoY0gp2kHuo5uLN4lBrmHIUa5hyDUMCUSWMIroxWn60s_W_JWctl-AN0fAFo93zkaZtLNeW-Oi1Vma4P4__-0_cj05X4KbftiDTWNYoi_bk1imVoL8sp7Deg3AATArX_gD3_GxXQ</recordid><startdate>20080601</startdate><enddate>20080601</enddate><creator>Applegate, Robert J., MD, FACC</creator><creator>Sacrinty, Matthew T., MPH</creator><creator>Kutcher, Michael A., MD, FACC</creator><creator>Kahl, Frederic R., MD, FACC</creator><creator>Gandhi, Sanjay K., MD, FACC</creator><creator>Santos, Renato M., MD, FACC</creator><creator>Little, William C., MD, FACC</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><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>20080601</creationdate><title>Trends in Vascular Complications After Diagnostic Cardiac Catheterization and Percutaneous Coronary Intervention Via the Femoral Artery, 1998 to 2007</title><author>Applegate, Robert J., MD, FACC ; Sacrinty, Matthew T., MPH ; Kutcher, Michael A., MD, FACC ; Kahl, Frederic R., MD, FACC ; Gandhi, Sanjay K., MD, FACC ; Santos, Renato M., MD, FACC ; Little, William C., MD, FACC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-869afb64c1d41f271a73bc7bb56b1a2b84a3cd86038983c601d29ca74b49adba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon, Coronary - adverse effects</topic><topic>Angioplasty, Balloon, Coronary - methods</topic><topic>Cardiac Catheterization - adverse effects</topic><topic>Cardiac Catheterization - methods</topic><topic>Cardiovascular</topic><topic>Female</topic><topic>Femoral Artery</topic><topic>Humans</topic><topic>Incidence</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Vascular Diseases - epidemiology</topic><topic>Vascular Diseases - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Applegate, Robert J., MD, FACC</creatorcontrib><creatorcontrib>Sacrinty, Matthew T., MPH</creatorcontrib><creatorcontrib>Kutcher, Michael A., MD, FACC</creatorcontrib><creatorcontrib>Kahl, Frederic R., MD, FACC</creatorcontrib><creatorcontrib>Gandhi, Sanjay K., MD, FACC</creatorcontrib><creatorcontrib>Santos, Renato M., MD, FACC</creatorcontrib><creatorcontrib>Little, William C., MD, FACC</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><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>JACC. 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Cardiovascular interventions</jtitle><addtitle>JACC Cardiovasc Interv</addtitle><date>2008-06-01</date><risdate>2008</risdate><volume>1</volume><issue>3</issue><spage>317</spage><epage>326</epage><pages>317-326</pages><issn>1936-8798</issn><eissn>1876-7605</eissn><abstract>Trends in Vascular Complications After Diagnostic Cardiac Catheterization and Percutaneous Coronary Intervention Via the Femoral Artery, 1998 to 2007 Robert J. Applegate, Matthew T. Sacrinty, Michael A. Kutcher, Frederic R. Kahl, Sanjay K. Gandhi, Renato M. Santos, William C. Little We evaluated trends in vascular complications after diagnostic cardiac catheterization (CATH), n = 20,277, and percutaneous coronary intervention (PCI), n = 14,239, from the femoral artery from 1998 to 2007. Overall, the incidence of any vascular complication decreased significantly for CATH, 1.7% versus 0.2%, and PCI, 3.1% versus 1.0%, from 1998 to 2007, both p < 0.001 for trend. 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| subjects | Aged Angioplasty, Balloon, Coronary - adverse effects Angioplasty, Balloon, Coronary - methods Cardiac Catheterization - adverse effects Cardiac Catheterization - methods Cardiovascular Female Femoral Artery Humans Incidence Logistic Models Male Middle Aged Prevalence Risk Assessment Risk Factors Time Factors Vascular Diseases - epidemiology Vascular Diseases - etiology |
| title | Trends in Vascular Complications After Diagnostic Cardiac Catheterization and Percutaneous Coronary Intervention Via the Femoral Artery, 1998 to 2007 |
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