Ultrasound-guided antegrade femoral access: comparison between the common femoral artery and the superficial femoral artery
Ultrasound-guided antegrade femoral access: comparison between the common femoral artery and the superficial femoral artery
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DOI：
10.1007/s00330-010-2032-z
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发表时间：
2011-06-01
影响因子：
5.9
通讯作者：
Binkert, C. A.
中科院分区：
文献类型：
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作者：
Gutzeit, A.;Graf, N.;Binkert, C. A.
本研究的目的是比较股浅动脉和股总动脉的超声引导下进入。100例患者随机接受超声引导下进入SFA或CFA。比较两组的技术成功率、入路时间和并发症。此外，还进行了一项亚组分析，以比较使用手动压迫与闭合器械止血的并发症发生率，SFA组中有49/50例患者在指定位置成功入路，CFA组中有41/50例患者成功入路（p = 0.016）。与CFA组（5分26秒）相比，SFA组的中位进入时间（3分25秒）明显更快（p < 0.001）。SFA组中最常见的并发症是假性动脉瘤（16.3%），而CFA组中最常见的并发症是穿刺部位血肿（14.6%）。然而，当观察使用闭合器械的亚组时，SFA组与CFA组之间没有差异（p = 1.000）。SFA更经常成功，并且比CFA穿刺更快。当使用手动压迫时，SFA组的假性动脉瘤发生率较高，但使用闭合器械时相似。
The aim of this study was to compare ultrasound-guided access of the superficial femoral artery and the common femoral artery.100 patients were randomized to ultrasound-guided access either into the SFA or the CFA. The two groups were compared with respect to technical success, access time and complications. In addition, a subgroup analysis was performed to compare the complication rate using manual compression versus closure devices for haemostasis.In the SFA group 49/50 patients were successfully accessed in the assigned location, compared to 41/50 in the CFA group (p = 0.016). The median access time was significantly faster in the SFA group (3 min 25 s) compared to the CFA group (5 min 26 s) (p < 0.001). The most frequent complications in the SFA group were pseudoaneurysms (16.3%) whereas access site haematomas (14.6%) were the most common complication in the CFA group. However, when looking at subgroup with closure devices there was no difference between the SFA group compared to CFA group (p = 1.000).Accessing the SFA was more often successful and significantly faster than puncturing the CFA. The pseudoaneurysm rate was higher in the SFA group when using manual compression, but similar when using closure devices.