Factors related to high bifurcation level of common femoral artery
Factors related to high bifurcation level of common femoral artery
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DOI：
10.1016/j.jstrokecerebrovasdis.2022.106976
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发表时间：
2023-01-06
影响因子：
2.5
通讯作者：
Nakada，Mitsutoshi
中科院分区：
文献类型：
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作者：
Uno，Takehiro;Misaki，Kouichi;Nakada，Mitsutoshi
背景股总动脉（CFA）穿刺用于血管内治疗。然而，当 CFA 分叉水平较高时，我们有时会遇到分支刺穿。在本研究中，我们检查了高CFA分叉水平的频率和相关因素。方法对100例接受脑血管造影或股动脉（FA）穿刺血管内治疗的患者191侧进行CFA分叉水平识别。 CFA分叉水平的高度分为三组：正常、高和非常高。检查年龄、性别、左右差值、身高、体重、体重指数以及合并症（包括高血压、血脂异常和糖尿病），以确定与高 CFA 分叉水平相关的因素。 结果正常组、高组和极高组分别位于 142 侧、35 侧和 14 侧。高和极高组（定义为高 CFA 分叉水平）占所有患者的 25%。多变量分析显示，老年人（p = 0.009）和有糖尿病史的患者（p = 0.042）中CFA分叉水平较高的患者比例较高。结论 在所有接受脑血管造影或FA穿刺血管内治疗的患者中，约四分之一的患者存在高CFA分叉水平，这与高龄和糖尿病史显着相关。对于紧急治疗，如果患者是老年人或有糖尿病病史，可以在腹股沟韧带下方更高的位置进行 FA 穿刺。
BackgroundCommon femoral artery (CFA) puncture is performed for endovascular treatment. However, we sometimes experience branch punctures when the CFA bifurcation level is high. In this study, we examined the frequency of high CFA bifurcation level and related factors.MethodsThe CFA bifurcation level was identified in 100 patients, who underwent cerebral angiography or endovascular treatment by femoral artery (FA) puncture, on 191 sides. The height of the CFA bifurcation level was classified into three groups: normal, high, and very high. Age, gender, left–right difference, height, weight, body mass index, and comorbidities, including hypertension, dyslipidemia, and diabetes, were examined to determine the factors associated with high CFA bifurcation level.ResultsThe normal, high, and very high groups were on 142, 35, and 14 sides, respectively. The high and very high groups, which were defined as high CFA bifurcation levels, accounted for 25% of all patients. Multivariate analysis revealed that the proportion of patients with high CFA bifurcation levels was higher in the elderly (p = 0.009) and those with a history of diabetes (p = 0.042).ConclusionsApproximately one-fourth of all patients undergoing cerebral angiography or endovascular treatment by FA puncture had high CFA bifurcation levels, which had a significant association with old age and history of diabetes. For urgent treatment, FA puncture might be performed at a higher level below the inguinal ligament if patients are elderly of those with a history of diabetes.