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10.1161/CIRCINTERVENTIONS.114.001306 http://scihub22266oqcxt.onion/10.1161/CIRCINTERVENTIONS.114.001306 C4529288!4529288 !25389345     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25389345 &cmd=llinks): Failed to open stream: HTTP request failed! 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Access site complications after peripheral vascular interventions: incidence, predictors, and outcomes |pdf=|usr=}}{{25389345 }} gab.com Text Access site complications after peripheral vascular interventions: incidence, predictors, and outcomes JO: Circ Cardiovasc Interv http://www.kidney.de/pget.php?&tw=1&pmid=25389345 #FOAvip BACKGROUND: Access site hematomas and pseudoaneurysms are the most frequent complications of peripheral vascular intervention (PVI); however, their incidence and risk factors remain unclear. METHODS AND RESULTS: We retrospectively analyzed data from the multicenter Vascular Quality Initiative on 22 226 patients who underwent 27 048 PVI from August 2007 to May 2013. Primary end points included incidence and predictors of access site complications (ASCs), length of postprocedural hospitalization, discharge status, and 30-day and 1-year mortality. ASC complicated 936 procedures (3.5%). Of these, 74.4% were minor complications, 9.7% were moderate requiring transfusion, 5.4% were moderate requiring thrombin injection, and 10.5% were severe requiring surgery. Predictors of ASC were age >75 years, female sex, white race, no prior PVI, nonfemoral arterial access site, >6-Fr sheath size, thrombolytics, arterial dissection, fluoroscopy time >30 minutes, nonuse of vascular closure device, bedridden preoperative ambulatory status, and urgent indication. Mean hospitalization was longer after procedures complicated by ASC (1.2±1.6 versus 1.9±1.9 days; range, 0-7 days; P=0.002). Severity of ASC correlated with higher rates of discharge to rehabilitation/nursing facilities compared with home discharge. Patients with severe ASC had higher 30-day mortality (6.1% versus 1.4%; P<0.001), and those with moderate ASC requiring transfusion had elevated 1-year mortality (12.1% versus 5.7%; P<0.001). CONCLUSIONS: Several factors independently predict ASC after PVI. Appropriate use of antithrombotic therapies and vascular closure device in patients at increased risk of ASC may improve post-PVI outcomes. Twit Text FOAVip Access site complications after peripheral vascular interventions: incidence, predictors, and outcomes ????Circ Cardiovasc Interv http://www.kidney.de/pget.php?&tw=1&pmid=25389345 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25389345 #FOAvip English Wikipedia <ref>{{Cite pmid|25389345 }}</ref> Access site complications after peripheral vascular interventions: incidence, predictors, and outcomes #MMPMID25389345 Ortiz D ; Jahangir A ; Singh M ; Allaqaband S ; Bajwa TK ; Mewissen MW Circ Cardiovasc Interv 2014[Dec]; 7 (6 ): 821-8 PMID25389345 show ga BACKGROUND: Access site hematomas and pseudoaneurysms are the most frequent complications of peripheral vascular intervention (PVI); however, their incidence and risk factors remain unclear. METHODS AND RESULTS: We retrospectively analyzed data from the multicenter Vascular Quality Initiative on 22 226 patients who underwent 27 048 PVI from August 2007 to May 2013. Primary end points included incidence and predictors of access site complications (ASCs), length of postprocedural hospitalization, discharge status, and 30-day and 1-year mortality. ASC complicated 936 procedures (3.5%). Of these, 74.4% were minor complications, 9.7% were moderate requiring transfusion, 5.4% were moderate requiring thrombin injection, and 10.5% were severe requiring surgery. Predictors of ASC were age >75 years, female sex, white race, no prior PVI, nonfemoral arterial access site, >6-Fr sheath size, thrombolytics, arterial dissection, fluoroscopy time >30 minutes, nonuse of vascular closure device, bedridden preoperative ambulatory status, and urgent indication. Mean hospitalization was longer after procedures complicated by ASC (1.2±1.6 versus 1.9±1.9 days; range, 0-7 days; P=0.002). Severity of ASC correlated with higher rates of discharge to rehabilitation/nursing facilities compared with home discharge. Patients with severe ASC had higher 30-day mortality (6.1% versus 1.4%; P<0.001), and those with moderate ASC requiring transfusion had elevated 1-year mortality (12.1% versus 5.7%; P<0.001). CONCLUSIONS: Several factors independently predict ASC after PVI. Appropriate use of antithrombotic therapies and vascular closure device in patients at increased risk of ASC may improve post-PVI outcomes. |Aged [MESH] |Aneurysm, False/diagnosis/*epidemiology/mortality/prevention & control/therapy [MESH] |Anticoagulants/therapeutic use [MESH] |Blood Transfusion [MESH] |Catheterization, Peripheral/*adverse effects/instrumentation/mortality [MESH] |Female [MESH] |Fibrinolytic Agents/therapeutic use [MESH] |Hematoma/diagnosis/*epidemiology/mortality/prevention & control/therapy [MESH] |Humans [MESH] |Incidence [MESH] |Length of Stay [MESH] |Male [MESH] |Middle Aged [MESH] |Retrospective Studies [MESH] |Risk Factors [MESH] |Time Factors [MESH]Access site complications after peripheral vascular interventions: inc(epmc).pdf DeepDyve Pubget Overpricing