导管置管后股动脉假性动脉瘤的预测因素

S. Rajashekhar, Achukatla Kumar
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摘要

将受影响的患者与年龄和性别匹配的对照组患者进行比较。所有在2022年7月至11月期间接受PCI、左心导管或冠状动脉造影的患者均被前瞻性招募。在我们的研究中,我们纳入了247例通过股骨通道进行心导管置入术的患者。诊断性置管后FAP发生率为5.97%,介入性手术后为8.69%。FAP患者的平均年龄为54.06±15.04岁,其中62.5%为女性。FAP组高血压14例(87.5%),糖尿病8例(50%),肥胖37.5%。收缩压为145.38±29.99 mmHg,舒张压为86±14.59 mmHg。计算机断层扫描数据显示,11例(68.5%)患者CFA动脉壁健康,5例(31.5%)患者弥漫性动脉粥样硬化。69%的患者FAPs连接到CFA, 31%的患者连接到股浅动脉(SFA)。在38%(6)患者中观察到假性动脉瘤囊部分血栓形成。FAP是诊断性手术或经皮心导管插入术后常见的血管并发症,其患病率可能会上升。
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Predictors of Post-catheterization Femoral Artery Pseudoaneurysm
To compare the affected patients with the age- and sex-matched patients in the control group. All patients who had undergone PCI, left heart catheterization, or coronary angiography between July and November 2022 were prospectively recruited. We included 247 patients in our study who underwent cardiac catheterization via femoral access. The incidence of FAP after a diagnostic catheterization was 5.97% and 8.69% after an interventional procedure. The mean age of the patients with FAP was 54.06 ± 15.04 years and 62.5% patients were females in the affected group. In FAP group, 14 patients (87.5%) had hypertension, 8 patients (50%) had diabetes, and 37.5% were had obesity. The systolic blood pressure was 145.38 ± 29.99 mmHg, while the diastolic blood pressure was 86 ± 14.59 mmHg. Data obtained from computed tomography scanning showed that the arterial wall of the CFA was healthy in 11 patients (68.5%), while diffuse atherosclerosis was detected in 5 (31.5%) patients. In 69% of the patients, FAPs were connected to the CFA and in 31% patients to the superficial femoral artery (SFA). In 38% (6) patients partial thrombosis of the pseudoaneurysm sac observed. FAP is a common vascular complication after a diagnostic procedure or percutaneous cardiac catheterization, and its prevalence is likely to rise.
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