PMID- 23222937
OWN - NLM
STAT- MEDLINE
DCOM- 20130521
LR  - 20161125
IS  - 1827-1839 (Electronic)
IS  - 0392-9590 (Linking)
VI  - 31
IP  - 6
DP  - 2012 Dec
TI  - Femoral pseudoaneurysm in patients undergoing primary percutaneous coronary 
      intervention for ST-elevation myocardial infarction: incidence, clinical course 
      and risk factors.
PG  - 579-85
AB  - AIM: Various peripheral vascular complications may be observed after cardiac 
      catheterization. However, no data are available about femoral pseudoaneurysm 
      (FPA) after urgent primary percutaneous coronary intervention (PCI). We sought to 
      determine the in-hospital incidence, clinical course and predictors of FPA in 
      patients with ST elevation myocardial infarction (STEMI) undergoing primary PCI. 
      METHODS: Two thousand six hundred consecutive STEMI patients (mean age: 56.5 +/- 
      11.7 years; 2158 men) undergoing primary PCI were retrospectively enrolled into 
      this study. Patients were evaluated with Doppler ultrasonography following PCI 
      and categorized into two groups according to whether FPA developed or not. All 
      the parameters were compared between FPA and non-FPA groups. RESULTS: The 
      incidence of FPA after primary PCI was determined to be 2.3%. The mean age was 
      higher in the FPA group compared to the non-FPA group (mean age: 60.6 +/- 11.6 vs. 
      56.5 +/- 11.8, respectively, P=0.007). Furthermore, the FPA developing group 
      experienced prolonged hospitalizations compared to the non-FPA group, but no 
      differences in in-hospital or long term mortality were noticed. In the 
      multivariate analysis of this study, female gender and age (>75 years), after 
      primary PCI, were found to be independent predictors of FPA. CONCLUSION: High 
      incidence of FPA was noticed in STEMI patients undergoing primary PCI, which 
      prolonged in-hospital stay. Extra care must be given, especially to women and 
      those who are >75 years of age, for this complication.
FAU - Ayhan, E
AU  - Ayhan E
AD  - Department of Cardiology, School of Medicine, Balikesir University, Turkey. 
      erkayh@gmail.com
FAU - Isik, T
AU  - Isik T
FAU - Uyarel, H
AU  - Uyarel H
FAU - Ergelen, R
AU  - Ergelen R
FAU - Cicek, G
AU  - Cicek G
FAU - Ghannadian, B
AU  - Ghannadian B
FAU - Halil Tanboga, I
AU  - Halil Tanboga I
FAU - Ergelen, M
AU  - Ergelen M
FAU - Eren, M
AU  - Eren M
LA  - eng
PT  - Journal Article
PL  - Italy
TA  - Int Angiol
JT  - International angiology : a journal of the International Union of Angiology
JID - 8402693
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Aneurysm, False/diagnosis/*epidemiology/therapy
MH  - Chi-Square Distribution
MH  - Female
MH  - Femoral Artery/diagnostic imaging/*injuries
MH  - Humans
MH  - Incidence
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Myocardial Infarction/*therapy
MH  - Odds Ratio
MH  - Percutaneous Coronary Intervention/*adverse effects
MH  - Proportional Hazards Models
MH  - Punctures
MH  - Radiography
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Risk Factors
MH  - Sex Factors
MH  - Time Factors
MH  - Treatment Outcome
MH  - Turkey
MH  - Ultrasonography, Doppler
MH  - Vascular System Injuries/diagnosis/*epidemiology/therapy
EDAT- 2012/12/12 06:00
MHDA- 2013/05/23 06:00
CRDT- 2012/12/11 06:00
PHST- 2012/12/11 06:00 [entrez]
PHST- 2012/12/12 06:00 [pubmed]
PHST- 2013/05/23 06:00 [medline]
AID - R34122937 [pii]
PST - ppublish
SO  - Int Angiol. 2012 Dec;31(6):579-85.