Ultrasound-guided femoral arterial access in pediatric cardiac catheterizations: A prospective evaluation of the prevalence, risk factors, and mechanism for acute loss of arterial pulse
- Resource Type
- Authors
- Hannah Lloyd; Iman Abutineh; Vijaykumar Agrawal; Thomas Yohannan; John Alexander; Shyam Sathanandam; B. Rush Waller; David Zurakowski
- Source
- Catheterization and Cardiovascular Interventions. 88:1098-1107
- Subject
- medicine.medical_specialty
Arterial pulse
business.industry
medicine.medical_treatment
Ultrasound
General Medicine
030204 cardiovascular system & hematology
medicine.disease
Ultrasound guided
Prospective evaluation
Surgery
03 medical and health sciences
0302 clinical medicine
Medicine
Radiology, Nuclear Medicine and imaging
030212 general & internal medicine
Thrombus
Cardiology and Cardiovascular Medicine
business
Complication
Prospective cohort study
Cardiac catheterization
- Language
- ISSN
- 1522-1946
Objectives The objectives of this study were to describe the prevalence, mechanisms, and identify risk factors for acute loss of arterial pulse (LOP) in children who had ultrasound-guided femoral arterial access (UGFAA) during cardiac catheterization. Background LOP is a known complication in children following femoral arterial (FA) access for cardiac catheterization. The prevalence of LOP requiring treatment ranges between 4% and 8%. Methods A prospective study was performed including 486 cardiac catheterizations using UGFAA in children ≤18 years over a 3 years period. Ultrasound and Doppler evaluations were performed prior to and at the end of the procedure. Results LOP was identified in 33 cases (6.8%) with 23 (4.7%) requiring treatment. For children ≤6 months, the prevalence of LOP requiring treatment was 13.6%. FA diameter