Peripheral vascular complications following coronary interventional procedures
We report the incidence, diagnosis, prevention, and treatment of peripheral vascular complications following coronary interventional procedures as reviewed in the English‐language literature. Peripheral vascular complications include hematomas, pseudoaneurysms, arteriovenous fistulae, acute arterial...
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| Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 1995-11, Vol.18 (11), p.609-614 |
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| container_title | Clinical cardiology (Mahwah, N.J.) |
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| creator | Nasser, Tony K. Mohler, Emile R. Wilensky, Robert L. Hathaway, David R. |
| description | We report the incidence, diagnosis, prevention, and treatment of peripheral vascular complications following coronary interventional procedures as reviewed in the English‐language literature. Peripheral vascular complications include hematomas, pseudoaneurysms, arteriovenous fistulae, acute arterial occlusions, cholesterol emboli, and infections that occur with an overall incidence of 1.5–9%. Major predictors of such complications following coronary interventional procedures include advanced age, repeat percutaneous transluminal coronary angioplasty, female gender, and peripheral vascular disease. Minor predictors include level of anticoagulation, use of thrombolytic agents, elevated creatinine levels, low platelet counts, longer periods of anticoagulation, and use of increased sheath size. Ultrasound‐guided compression repair of pseudoaneurysms and arteriovenous fistulae are discussed, as are newer methods of treatment such as hemostatic puncture closure devices. Anticipation and early recognition of possible peripheral vascular complications in conjunction with careful attention to the optimal activated clotting time for sheath removal following coronary interventional procedures may translate into fewer vascular complications as well as into shorter and less costly hospital stays. |
| doi_str_mv | 10.1002/clc.4960181105 |
| format | Article |
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Peripheral vascular complications include hematomas, pseudoaneurysms, arteriovenous fistulae, acute arterial occlusions, cholesterol emboli, and infections that occur with an overall incidence of 1.5–9%. Major predictors of such complications following coronary interventional procedures include advanced age, repeat percutaneous transluminal coronary angioplasty, female gender, and peripheral vascular disease. Minor predictors include level of anticoagulation, use of thrombolytic agents, elevated creatinine levels, low platelet counts, longer periods of anticoagulation, and use of increased sheath size. Ultrasound‐guided compression repair of pseudoaneurysms and arteriovenous fistulae are discussed, as are newer methods of treatment such as hemostatic puncture closure devices. Anticipation and early recognition of possible peripheral vascular complications in conjunction with careful attention to the optimal activated clotting time for sheath removal following coronary interventional procedures may translate into fewer vascular complications as well as into shorter and less costly hospital stays.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.4960181105</identifier><identifier>PMID: 8590528</identifier><identifier>CODEN: CLCADC</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>Aneurysm, False - etiology ; angioplasty ; Angioplasty - adverse effects ; Angioplasty, Balloon, Coronary - adverse effects ; Arterial Occlusive Diseases - etiology ; arteriovenous fistulae ; Atherectomy, Coronary - adverse effects ; Biological and medical sciences ; bleeding ; Cardiology. Vascular system ; Coronary heart disease ; Embolism, Cholesterol - etiology ; Heart ; hematoma ; Hematoma - etiology ; Humans ; Medical sciences ; Peripheral Vascular Diseases - etiology ; pseudoaneurysms ; Stents - adverse effects</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 1995-11, Vol.18 (11), p.609-614</ispartof><rights>Copyright © 1995 Wiley Periodicals, Inc.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5065-8ac8846b5416191976dac2ba962db26449630702dfe3e8ed97a82c961630e80c3</citedby><cites>FETCH-LOGICAL-c5065-8ac8846b5416191976dac2ba962db26449630702dfe3e8ed97a82c961630e80c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fclc.4960181105$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fclc.4960181105$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2956010$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8590528$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nasser, Tony K.</creatorcontrib><creatorcontrib>Mohler, Emile R.</creatorcontrib><creatorcontrib>Wilensky, Robert L.</creatorcontrib><creatorcontrib>Hathaway, David R.</creatorcontrib><title>Peripheral vascular complications following coronary interventional procedures</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><description>We report the incidence, diagnosis, prevention, and treatment of peripheral vascular complications following coronary interventional procedures as reviewed in the English‐language literature. Peripheral vascular complications include hematomas, pseudoaneurysms, arteriovenous fistulae, acute arterial occlusions, cholesterol emboli, and infections that occur with an overall incidence of 1.5–9%. Major predictors of such complications following coronary interventional procedures include advanced age, repeat percutaneous transluminal coronary angioplasty, female gender, and peripheral vascular disease. Minor predictors include level of anticoagulation, use of thrombolytic agents, elevated creatinine levels, low platelet counts, longer periods of anticoagulation, and use of increased sheath size. Ultrasound‐guided compression repair of pseudoaneurysms and arteriovenous fistulae are discussed, as are newer methods of treatment such as hemostatic puncture closure devices. Anticipation and early recognition of possible peripheral vascular complications in conjunction with careful attention to the optimal activated clotting time for sheath removal following coronary interventional procedures may translate into fewer vascular complications as well as into shorter and less costly hospital stays.</description><subject>Aneurysm, False - etiology</subject><subject>angioplasty</subject><subject>Angioplasty - adverse effects</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Arterial Occlusive Diseases - etiology</subject><subject>arteriovenous fistulae</subject><subject>Atherectomy, Coronary - adverse effects</subject><subject>Biological and medical sciences</subject><subject>bleeding</subject><subject>Cardiology. Vascular system</subject><subject>Coronary heart disease</subject><subject>Embolism, Cholesterol - etiology</subject><subject>Heart</subject><subject>hematoma</subject><subject>Hematoma - etiology</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Peripheral Vascular Diseases - etiology</subject><subject>pseudoaneurysms</subject><subject>Stents - adverse effects</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkD1PwzAQhi0EKqWwsiFlQGwpZydx7BFFfEkVMMBsuc4FjNyk2E2r_ntctSpsnSzdPfee7yHkksKYArBb48w4lxyooBSKIzKkMmOpKLPymAyBckglE_KUnIXwHXkQLBuQgSgkFEwMycsbejv_Qq9dstTB9E77xHSzubNGL2zXhqTpnOtWtv2Mdd-12q8T2y7QL7HdAHFw7juDde8xnJOTRruAF7t3RD4e7t-rp3Ty-vhc3U1SUwAvUqGNEDmfFjnlVFJZ8lobNtWSs3rKeB4PyqAEVjeYocBallowIzmNZRRgshG52ebG1T89hoWa2WDQOd1i1wdVlgIAKDsIMsqA5zSP4HgLGt-F4LFRc29n8VhFQW1Mq2ha_ZmOA1e75H46w3qP79TG_vWuH7Vq13jdGhv2GJNFjIKIyS22sg7XB5aqalL9-8IvXO-XGA</recordid><startdate>199511</startdate><enddate>199511</enddate><creator>Nasser, Tony K.</creator><creator>Mohler, Emile R.</creator><creator>Wilensky, Robert L.</creator><creator>Hathaway, David R.</creator><general>Wiley Periodicals, Inc</general><general>Wiley</general><scope>IQODW</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>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>199511</creationdate><title>Peripheral vascular complications following coronary interventional procedures</title><author>Nasser, Tony K. ; Mohler, Emile R. ; Wilensky, Robert L. ; Hathaway, David R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5065-8ac8846b5416191976dac2ba962db26449630702dfe3e8ed97a82c961630e80c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Aneurysm, False - etiology</topic><topic>angioplasty</topic><topic>Angioplasty - adverse effects</topic><topic>Angioplasty, Balloon, Coronary - adverse effects</topic><topic>Arterial Occlusive Diseases - etiology</topic><topic>arteriovenous fistulae</topic><topic>Atherectomy, Coronary - adverse effects</topic><topic>Biological and medical sciences</topic><topic>bleeding</topic><topic>Cardiology. Vascular system</topic><topic>Coronary heart disease</topic><topic>Embolism, Cholesterol - etiology</topic><topic>Heart</topic><topic>hematoma</topic><topic>Hematoma - etiology</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Peripheral Vascular Diseases - etiology</topic><topic>pseudoaneurysms</topic><topic>Stents - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nasser, Tony K.</creatorcontrib><creatorcontrib>Mohler, Emile R.</creatorcontrib><creatorcontrib>Wilensky, Robert L.</creatorcontrib><creatorcontrib>Hathaway, David R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nasser, Tony K.</au><au>Mohler, Emile R.</au><au>Wilensky, Robert L.</au><au>Hathaway, David R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peripheral vascular complications following coronary interventional procedures</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>1995-11</date><risdate>1995</risdate><volume>18</volume><issue>11</issue><spage>609</spage><epage>614</epage><pages>609-614</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><coden>CLCADC</coden><abstract>We report the incidence, diagnosis, prevention, and treatment of peripheral vascular complications following coronary interventional procedures as reviewed in the English‐language literature. Peripheral vascular complications include hematomas, pseudoaneurysms, arteriovenous fistulae, acute arterial occlusions, cholesterol emboli, and infections that occur with an overall incidence of 1.5–9%. Major predictors of such complications following coronary interventional procedures include advanced age, repeat percutaneous transluminal coronary angioplasty, female gender, and peripheral vascular disease. Minor predictors include level of anticoagulation, use of thrombolytic agents, elevated creatinine levels, low platelet counts, longer periods of anticoagulation, and use of increased sheath size. Ultrasound‐guided compression repair of pseudoaneurysms and arteriovenous fistulae are discussed, as are newer methods of treatment such as hemostatic puncture closure devices. Anticipation and early recognition of possible peripheral vascular complications in conjunction with careful attention to the optimal activated clotting time for sheath removal following coronary interventional procedures may translate into fewer vascular complications as well as into shorter and less costly hospital stays.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>8590528</pmid><doi>10.1002/clc.4960181105</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aneurysm, False - etiology angioplasty Angioplasty - adverse effects Angioplasty, Balloon, Coronary - adverse effects Arterial Occlusive Diseases - etiology arteriovenous fistulae Atherectomy, Coronary - adverse effects Biological and medical sciences bleeding Cardiology. Vascular system Coronary heart disease Embolism, Cholesterol - etiology Heart hematoma Hematoma - etiology Humans Medical sciences Peripheral Vascular Diseases - etiology pseudoaneurysms Stents - adverse effects |
| title | Peripheral vascular complications following coronary interventional procedures |
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