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Risk and prognostic factors of post-catheterization pseudoaneurysm

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Risk and prognostic factors of post-catheterization pseudoaneurysm

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dc.contributor.author Michimoto, Kenkichi pl
dc.contributor.author Takenaga, Shinsuke pl
dc.contributor.author Matsui, Yo pl
dc.contributor.author Enoki, Keitaro pl
dc.contributor.author Nozawa, Yosuke pl
dc.contributor.author Higuchi, Takahiro pl
dc.contributor.author Sakamoto, Hiroshi pl
dc.contributor.author Noda, Yasuto pl
dc.contributor.author Morooka, Satoru pl
dc.date.accessioned 2021-10-05T06:36:13Z
dc.date.available 2021-10-05T06:36:13Z
dc.date.issued 2021 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/279488
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/pl/legalcode *
dc.title Risk and prognostic factors of post-catheterization pseudoaneurysm pl
dc.type JournalArticle pl
dc.description.physical e511-e517 pl
dc.description.additional Bibliogr. s. e516-e517 pl
dc.abstract.en Purpose: To evaluate the risk and prognostic factors of post-catheterization pseudoaneurysm (PPA). Material and methods: To identify the risk factors for PPA occurrence, clinical findings were compared between 22 consecutive patients with radiologically confirmed PPAs (PPA group) and 300 randomly extracted patients without PPA, who underwent transarterial angiography or intervention (sample group) between 1 January 2015 and 31 March 2020. The PPA group was further divided into those treated successfully with mechanical compression (group A) and those requiring ultrasound-guided thrombin injection after compression failed (group B). Univariate and multivariate analyses were used to compare patient demographics, preoperative laboratory findings, procedure details, PPA diameter, and time interval between the procedure and compression between groups A and B to evaluate the prognostic factors of PPA. Results: The PPA group demonstrated significantly elevated prothrombin time international normalized ratios (PT/INR) (odds ratio [OR]: 6.27, 95% confidence interval [CI]: 2.020-19.5; p = 0.00151) and more frequent popliteal access (OR: 14.2, 95% CI: 1.040-195.0; p = 0.0467) compared to the sample group, and radial access decreased the risk of PPA (OR: 0.382, 95% CI: 0.0148-0.987; p = 0.0468). One of the 22 PPAs resolved spontaneously, and 11 others (52.4%) were successfully treated by mechanical compression. An interval exceeding 24 hours between the procedure and compression was the only significant prognostic factor (p = 0.0281) between groups A and B. Conclusions: Elevated PT/INR and popliteal access may predispose patients to PPA; close consideration of the site of access may lower the risk of refractory PPA. pl
dc.subject.en catheterization pl
dc.subject.en prognostic factor pl
dc.subject.en pseudoaneurysm pl
dc.subject.en risk factor pl
dc.description.volume 86 pl
dc.identifier.doi 10.5114/pjr.2021.109077 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa