Abstract WP379: Femoral Neuropathy Following Transfemoral Neuroendovascular Procedures. An Analysis of a Prospective Registry
- Resource Type
- Authors
- Faisal M Raja; Shawn S Wallery; Danish Kherani; Laura Qi; Sehar Babar; Adnan I Qureshi; Muhammad A Saleem
- Source
- Stroke. 50
- Subject
- Advanced and Specialized Nursing
medicine.medical_specialty
genetic structures
medicine.diagnostic_test
Femoral Neuropathy
business.industry
Angiography
medicine
Neurology (clinical)
Cardiology and Cardiovascular Medicine
business
Patient care
Surgery
- Language
- ISSN
- 1524-4628
0039-2499
Background: Although femoral neuropathy is recognized as an adverse consequence following trans-femoral neuro-endovascular procedures, no reliable estimates are available. We analyzed data from a prospective registry to ascertain the frequency and characteristics of femoral neuropathy following trans-femoral neuro-endovascular procedures. Methods: Consecutive patients who underwent neuro-endovascular procedures through the trans-femoral route were included. Detailed assessment was performed if any patient reported occurrence of sensory or motor symptoms in the femoral or lower extremity region including neurological examination (sensory/motor deficits) and femoral region ultrasound. Results: Femoral neuropathy was diagnosed following 4 of 270 neurovascular procedures with an occurrence rate of 1.5% (95% confidence intervals 0.4% - 3.7%). The symptoms were exclusively sensory without any motor involvement. The femoral neuropathy appeared to involve anterior femoral cutaneous nerves in all and medial cutaneous branches in 2 patients, and more than one nerve distribution in one patient in whom lateral cutaneous nerve appeared to be involved. All patients reported resolution of symptoms within a period ranging from 1 week to 2 months. No local hematoma or arterial pseudo-aneurysm was identified at femoral region ultrasound. Conclusions: Femoral neuropathy is a rare occurrence following trans-femoral neuro-endovascular procedures and usually occurs with pure sensory manifestations with complete resolution.