Body mass index and the risk of low femoral artery puncture in coronary angiography under fluoroscopy guidance
The inferior border of the femoral head (IBFH) is widely used as a landmark in femoral artery puncture during invasive coronary angiography (ICA). However, application of this technique can be challenging especially in obese patients. This study was performed to investigate the association between b...
Gespeichert in:
| Veröffentlicht in: | Medicine (Baltimore) 2018-03, Vol.97 (9), p.e0070-e0070 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0070 |
|---|---|
| container_issue | 9 |
| container_start_page | e0070 |
| container_title | Medicine (Baltimore) |
| container_volume | 97 |
| creator | Kim, Minsuk Kim, Myung-A Kim, Hack-Lyoung Lee, Won-Jae Lim, Woo-Hyun Seo, Jae-Bin Kim, Sang-Hyun Zo, Joo-Hee |
| description | The inferior border of the femoral head (IBFH) is widely used as a landmark in femoral artery puncture during invasive coronary angiography (ICA). However, application of this technique can be challenging especially in obese patients. This study was performed to investigate the association between body mass index (BMI) and the risk of low puncture in femoral artery puncture.A total of 464 patients (64.8 ± 11.1 years, 55.8% male) who underwent ICA via trans-femoral access were retrospectively reviewed. IBFH was used as a landmark for a skin nick and the femoral artery cannulation site was confirmed by femoral angiography. Cannulation at the bifurcation of the common femoral artery (CFA) or below were considered low puncture.Twenty-nine patients (5.8%) were identified as having an angiographically high CFA bifurcation and low femoral artery puncture occurred in 27 (93.1%) patients of them. Among patients with normal bifurcation (n = 464), low puncture occurred in 74 (15.9%) patients. Underweight (BMI < 18.5 kg/m) or obese (BMI ≥ 30 kg/m) patients were more common in the low puncture group than in the proper puncture group (36.5% vs. 5.9%, P < .001). Multivariable analysis showed underweight or obesity (odd ratio, 9.10; 95% confidential interval, 4.77-17.35; P |
| doi_str_mv | 10.1097/MD.0000000000010070 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5851760</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2009568689</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5161-c622dce55b0928966ea9450ae93ba323f32e7a7813dc7b5bee8a160095f632b93</originalsourceid><addsrcrecordid>eNpdUU1v1DAQtRCILoVfgIR85JLij9iOL0jQUkBqxQXOluNMNqGOHeyky_77etlSPnyxNPPmvTfzEHpJyRklWr25vjgjfx4lRJFHaEMFl5XQsn6MNoQwUSmt6hP0LOfvBcQVq5-iE6brRktFNii8j90eTzZnPIYOfmIbOrwMgNOYb3DssY873MMUk_XYpgXSHs9rcMuaoExgF1MMthRt2I5xm-w87PFamBLu_Vqa2cV5j7fr2Nng4Dl60luf4cX9f4q-XX74ev6puvry8fP5u6vKCSpp5SRjnQMhWqJZcSrB6loQC5q3ljPecwbKqobyzqlWtACNpZIQLXrJWav5KXp75J3XdoJCFZaygJnTOBWzJtrR_NsJ42C28daIRlAlSSF4fU-Q4o8V8mKmMTvw3gaIazbsICYb2Ry0-BHqyrY5Qf8gQ4k5JGWuL8z_SZWpV387fJj5HU0B1EfALvpy9nzj1x0kM4D1y_CLTyjNKkZoQzhhpCoVTvkdnqagoA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2009568689</pqid></control><display><type>article</type><title>Body mass index and the risk of low femoral artery puncture in coronary angiography under fluoroscopy guidance</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Wolters Kluwer Open Health</source><source>IngentaConnect Free/Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Kim, Minsuk ; Kim, Myung-A ; Kim, Hack-Lyoung ; Lee, Won-Jae ; Lim, Woo-Hyun ; Seo, Jae-Bin ; Kim, Sang-Hyun ; Zo, Joo-Hee</creator><creatorcontrib>Kim, Minsuk ; Kim, Myung-A ; Kim, Hack-Lyoung ; Lee, Won-Jae ; Lim, Woo-Hyun ; Seo, Jae-Bin ; Kim, Sang-Hyun ; Zo, Joo-Hee</creatorcontrib><description>The inferior border of the femoral head (IBFH) is widely used as a landmark in femoral artery puncture during invasive coronary angiography (ICA). However, application of this technique can be challenging especially in obese patients. This study was performed to investigate the association between body mass index (BMI) and the risk of low puncture in femoral artery puncture.A total of 464 patients (64.8 ± 11.1 years, 55.8% male) who underwent ICA via trans-femoral access were retrospectively reviewed. IBFH was used as a landmark for a skin nick and the femoral artery cannulation site was confirmed by femoral angiography. Cannulation at the bifurcation of the common femoral artery (CFA) or below were considered low puncture.Twenty-nine patients (5.8%) were identified as having an angiographically high CFA bifurcation and low femoral artery puncture occurred in 27 (93.1%) patients of them. Among patients with normal bifurcation (n = 464), low puncture occurred in 74 (15.9%) patients. Underweight (BMI < 18.5 kg/m) or obese (BMI ≥ 30 kg/m) patients were more common in the low puncture group than in the proper puncture group (36.5% vs. 5.9%, P < .001). Multivariable analysis showed underweight or obesity (odd ratio, 9.10; 95% confidential interval, 4.77-17.35; P < .001) was an independent risk factor of low puncture even after controlling for clinical covariates. The average distance from IBFH to the CFA puncture site was shorter in patients with underweight (1.74 ± 0.71 cm) or obesity (1.75 ± 0.60 cm) than in those with normal BMI or overweight (2.07 ± 0.83 cm) (P = .030). Trigonometric calculation showed that the average distance from IBFH to the CFA puncture site was 0.5 to 2.59 cm (mean = 1.32 cm) shorter in underweight patients compared with those of normal weight or overweight patients.In patients with normal CFA bifurcation, underweight or obesity were associated with increased risk of low puncture. The puncture site should be chosen about 1 finger width more proximal to IBFH for ICA in such patients.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000010070</identifier><identifier>PMID: 29489670</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Aged ; Body Mass Index ; Catheterization, Peripheral - adverse effects ; Coronary Angiography - adverse effects ; Female ; Femoral Artery - injuries ; Fluoroscopy ; Humans ; Male ; Middle Aged ; Observational Study ; Overweight ; Retrospective Studies ; Risk Factors ; Thinness ; Vascular System Injuries - etiology</subject><ispartof>Medicine (Baltimore), 2018-03, Vol.97 (9), p.e0070-e0070</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5161-c622dce55b0928966ea9450ae93ba323f32e7a7813dc7b5bee8a160095f632b93</citedby><cites>FETCH-LOGICAL-c5161-c622dce55b0928966ea9450ae93ba323f32e7a7813dc7b5bee8a160095f632b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851760/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851760/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29489670$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Minsuk</creatorcontrib><creatorcontrib>Kim, Myung-A</creatorcontrib><creatorcontrib>Kim, Hack-Lyoung</creatorcontrib><creatorcontrib>Lee, Won-Jae</creatorcontrib><creatorcontrib>Lim, Woo-Hyun</creatorcontrib><creatorcontrib>Seo, Jae-Bin</creatorcontrib><creatorcontrib>Kim, Sang-Hyun</creatorcontrib><creatorcontrib>Zo, Joo-Hee</creatorcontrib><title>Body mass index and the risk of low femoral artery puncture in coronary angiography under fluoroscopy guidance</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>The inferior border of the femoral head (IBFH) is widely used as a landmark in femoral artery puncture during invasive coronary angiography (ICA). However, application of this technique can be challenging especially in obese patients. This study was performed to investigate the association between body mass index (BMI) and the risk of low puncture in femoral artery puncture.A total of 464 patients (64.8 ± 11.1 years, 55.8% male) who underwent ICA via trans-femoral access were retrospectively reviewed. IBFH was used as a landmark for a skin nick and the femoral artery cannulation site was confirmed by femoral angiography. Cannulation at the bifurcation of the common femoral artery (CFA) or below were considered low puncture.Twenty-nine patients (5.8%) were identified as having an angiographically high CFA bifurcation and low femoral artery puncture occurred in 27 (93.1%) patients of them. Among patients with normal bifurcation (n = 464), low puncture occurred in 74 (15.9%) patients. Underweight (BMI < 18.5 kg/m) or obese (BMI ≥ 30 kg/m) patients were more common in the low puncture group than in the proper puncture group (36.5% vs. 5.9%, P < .001). Multivariable analysis showed underweight or obesity (odd ratio, 9.10; 95% confidential interval, 4.77-17.35; P < .001) was an independent risk factor of low puncture even after controlling for clinical covariates. The average distance from IBFH to the CFA puncture site was shorter in patients with underweight (1.74 ± 0.71 cm) or obesity (1.75 ± 0.60 cm) than in those with normal BMI or overweight (2.07 ± 0.83 cm) (P = .030). Trigonometric calculation showed that the average distance from IBFH to the CFA puncture site was 0.5 to 2.59 cm (mean = 1.32 cm) shorter in underweight patients compared with those of normal weight or overweight patients.In patients with normal CFA bifurcation, underweight or obesity were associated with increased risk of low puncture. The puncture site should be chosen about 1 finger width more proximal to IBFH for ICA in such patients.</description><subject>Aged</subject><subject>Body Mass Index</subject><subject>Catheterization, Peripheral - adverse effects</subject><subject>Coronary Angiography - adverse effects</subject><subject>Female</subject><subject>Femoral Artery - injuries</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observational Study</subject><subject>Overweight</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Thinness</subject><subject>Vascular System Injuries - etiology</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUU1v1DAQtRCILoVfgIR85JLij9iOL0jQUkBqxQXOluNMNqGOHeyky_77etlSPnyxNPPmvTfzEHpJyRklWr25vjgjfx4lRJFHaEMFl5XQsn6MNoQwUSmt6hP0LOfvBcQVq5-iE6brRktFNii8j90eTzZnPIYOfmIbOrwMgNOYb3DssY873MMUk_XYpgXSHs9rcMuaoExgF1MMthRt2I5xm-w87PFamBLu_Vqa2cV5j7fr2Nng4Dl60luf4cX9f4q-XX74ev6puvry8fP5u6vKCSpp5SRjnQMhWqJZcSrB6loQC5q3ljPecwbKqobyzqlWtACNpZIQLXrJWav5KXp75J3XdoJCFZaygJnTOBWzJtrR_NsJ42C28daIRlAlSSF4fU-Q4o8V8mKmMTvw3gaIazbsICYb2Ry0-BHqyrY5Qf8gQ4k5JGWuL8z_SZWpV387fJj5HU0B1EfALvpy9nzj1x0kM4D1y_CLTyjNKkZoQzhhpCoVTvkdnqagoA</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Kim, Minsuk</creator><creator>Kim, Myung-A</creator><creator>Kim, Hack-Lyoung</creator><creator>Lee, Won-Jae</creator><creator>Lim, Woo-Hyun</creator><creator>Seo, Jae-Bin</creator><creator>Kim, Sang-Hyun</creator><creator>Zo, Joo-Hee</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</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><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>Body mass index and the risk of low femoral artery puncture in coronary angiography under fluoroscopy guidance</title><author>Kim, Minsuk ; Kim, Myung-A ; Kim, Hack-Lyoung ; Lee, Won-Jae ; Lim, Woo-Hyun ; Seo, Jae-Bin ; Kim, Sang-Hyun ; Zo, Joo-Hee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5161-c622dce55b0928966ea9450ae93ba323f32e7a7813dc7b5bee8a160095f632b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Body Mass Index</topic><topic>Catheterization, Peripheral - adverse effects</topic><topic>Coronary Angiography - adverse effects</topic><topic>Female</topic><topic>Femoral Artery - injuries</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observational Study</topic><topic>Overweight</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Thinness</topic><topic>Vascular System Injuries - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Minsuk</creatorcontrib><creatorcontrib>Kim, Myung-A</creatorcontrib><creatorcontrib>Kim, Hack-Lyoung</creatorcontrib><creatorcontrib>Lee, Won-Jae</creatorcontrib><creatorcontrib>Lim, Woo-Hyun</creatorcontrib><creatorcontrib>Seo, Jae-Bin</creatorcontrib><creatorcontrib>Kim, Sang-Hyun</creatorcontrib><creatorcontrib>Zo, Joo-Hee</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Minsuk</au><au>Kim, Myung-A</au><au>Kim, Hack-Lyoung</au><au>Lee, Won-Jae</au><au>Lim, Woo-Hyun</au><au>Seo, Jae-Bin</au><au>Kim, Sang-Hyun</au><au>Zo, Joo-Hee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body mass index and the risk of low femoral artery puncture in coronary angiography under fluoroscopy guidance</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>97</volume><issue>9</issue><spage>e0070</spage><epage>e0070</epage><pages>e0070-e0070</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>The inferior border of the femoral head (IBFH) is widely used as a landmark in femoral artery puncture during invasive coronary angiography (ICA). However, application of this technique can be challenging especially in obese patients. This study was performed to investigate the association between body mass index (BMI) and the risk of low puncture in femoral artery puncture.A total of 464 patients (64.8 ± 11.1 years, 55.8% male) who underwent ICA via trans-femoral access were retrospectively reviewed. IBFH was used as a landmark for a skin nick and the femoral artery cannulation site was confirmed by femoral angiography. Cannulation at the bifurcation of the common femoral artery (CFA) or below were considered low puncture.Twenty-nine patients (5.8%) were identified as having an angiographically high CFA bifurcation and low femoral artery puncture occurred in 27 (93.1%) patients of them. Among patients with normal bifurcation (n = 464), low puncture occurred in 74 (15.9%) patients. Underweight (BMI < 18.5 kg/m) or obese (BMI ≥ 30 kg/m) patients were more common in the low puncture group than in the proper puncture group (36.5% vs. 5.9%, P < .001). Multivariable analysis showed underweight or obesity (odd ratio, 9.10; 95% confidential interval, 4.77-17.35; P < .001) was an independent risk factor of low puncture even after controlling for clinical covariates. The average distance from IBFH to the CFA puncture site was shorter in patients with underweight (1.74 ± 0.71 cm) or obesity (1.75 ± 0.60 cm) than in those with normal BMI or overweight (2.07 ± 0.83 cm) (P = .030). Trigonometric calculation showed that the average distance from IBFH to the CFA puncture site was 0.5 to 2.59 cm (mean = 1.32 cm) shorter in underweight patients compared with those of normal weight or overweight patients.In patients with normal CFA bifurcation, underweight or obesity were associated with increased risk of low puncture. The puncture site should be chosen about 1 finger width more proximal to IBFH for ICA in such patients.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>29489670</pmid><doi>10.1097/MD.0000000000010070</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7974 |
| ispartof | Medicine (Baltimore), 2018-03, Vol.97 (9), p.e0070-e0070 |
| issn | 0025-7974 1536-5964 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5851760 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Aged Body Mass Index Catheterization, Peripheral - adverse effects Coronary Angiography - adverse effects Female Femoral Artery - injuries Fluoroscopy Humans Male Middle Aged Observational Study Overweight Retrospective Studies Risk Factors Thinness Vascular System Injuries - etiology |
| title | Body mass index and the risk of low femoral artery puncture in coronary angiography under fluoroscopy guidance |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T04%3A38%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Body%20mass%20index%20and%20the%20risk%20of%20low%20femoral%20artery%20puncture%20in%20coronary%20angiography%20under%20fluoroscopy%20guidance&rft.jtitle=Medicine%20(Baltimore)&rft.au=Kim,%20Minsuk&rft.date=2018-03-01&rft.volume=97&rft.issue=9&rft.spage=e0070&rft.epage=e0070&rft.pages=e0070-e0070&rft.issn=0025-7974&rft.eissn=1536-5964&rft_id=info:doi/10.1097/MD.0000000000010070&rft_dat=%3Cproquest_pubme%3E2009568689%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2009568689&rft_id=info:pmid/29489670&rfr_iscdi=true |