Femoral Vascular Complications After Percutaneous Coronary Interventions

Katırcıbaşı, Tuna; Çamsarı, Ahmet; Döven, Oben; Pekdemir, Hasan; Akkuş, Necdet; Çiçek, Dilek; Cin, V.Gökhan; Özcan, Türkay

Original Investigation

Tuna Katırcıbaşı ¹ , Ahmet Çamsarı ² , Oben Döven ³ , Hasan Pekdemir ⁴ , Necdet Akkuş ⁵ , Dilek Çiçek ² , V.Gökhan Cin ⁶ , Türkay Özcan ²

¹Department of Cardiology Surgery, School of Medicine, Başkent University, Ankara, Adana, Turkey
²Department of Cardiology Faculty of Medicine, Mersin University, Mersin
³Department of Cardiology, Faculty of Medicine, Mersin University, Mersin, Turkey
⁴Department of Cardiology, Faculty of Medicine, İnönü University, Malatya-Turkey
⁵Mersin Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, Mersin
⁶From Department of Cardiology Medical Faculty, Mersin University, Mersin, Turkey

Anatol J Cardiol 2004; 4(1): 39-44 PubMed ID: 15033617

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Abstract

Objective: We aimed to investigate peripheral vascular complications and their relation with treatment and clinical parameters in percutaneous transluminal coronary angioplasty (PTCA) patients. Methods: We included 321 patients (aged 57±11 years) underwent PTCA between November 2001-August 2002. The age, gender, glycoprotein 2b/3a use, thrombolytic use, intraaortic balloon treatment, transient pacemaker treatment, reintervention history, hypertension, diabetes mellitus, smoking status, family history and the correlations of these parameters with local vascular complications were assessed in all patients. Results: Pseudoaneurysm incidence was significantly correlated with; age [(n=13 68.0%) p=0.0001, OR 8.38], female gender [(n=12 63.1%) p<0.015, OR 0.32], reintervention [(n=10 52.1%) p<0.004, OR 3.6], venous sheath usage [(n=12 63%) p<0.0001, OR 9.07], thrombolytic treatment [(n=5 26.3%) p<0.0001, OR 7.9], and intraaortic balloon adjustment [(n=6 31.5%) p<0.0001, OR 7.2]. No correlation was found between pseudoaneurysm incidence and glycoprotein 2b/3a treatment, smoking, diabetes mellitus, hypertension and family history. Conclusion: The present study showed that patients of female gender, with reintervention, thrombolytic treatment, venous sheath use and intraaortic balloon adjustment are at high risk for serious femoral vascular complications, especially when they are aged. Additionally, glycoprotein 2b/3a agents can be used without increased risk of peripheral vascular complications.

Keywords: PTCA, pseudoaneurysm, glycoprotein 2b/3a

Perkütan Koroner Girişimler Sonrası Femoral Vasküler Komplikasyonlar

Tuna Katırcıbaşı¹ , Ahmet Çamsarı² , Oben Döven³ , Hasan Pekdemir⁴ , Necdet Akkuş⁵ , Dilek Çiçek² , V.Gökhan Cin⁶ , Türkay Özcan²

¹Department of Cardiology Surgery, School of Medicine, Başkent University, Ankara, Adana, Turkey
²Department of Cardiology Faculty of Medicine, Mersin University, Mersin
³Department of Cardiology, Faculty of Medicine, Mersin University, Mersin, Turkey
⁴Department of Cardiology, Faculty of Medicine, İnönü University, Malatya-Turkey
⁵Mersin Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, Mersin
⁶From Department of Cardiology Medical Faculty, Mersin University, Mersin, Turkey

The Anatolian Journal of Cardiology 2004; 4(1): 39-44 PMID: 15033617

Anahtar Kelimeler: PTKA, psödoanevrizma, glikoprotein 2b/3a