Erschienen in:
01.08.2003 | Clinical Investigations
Retrograde vs. Antegrade Puncture for Infra-Inguinal Angioplasty
verfasst von:
C. Nice, G. Timmons, P. Bartholemew, R. Uberoi
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 4/2003
Einloggen, um Zugang zu erhalten
Abstract
This study was done to compare antegrade punctures
with a retrograde puncture technique for infrainguinal angioplasty. A
group of 100 consecutive patients (71 men, 29 women) were randomized
for antegrade puncture or retrograde puncture of the common femoral
artery. Following retrograde puncture the guidewire was ‘turned’ and
placed into the superficial femoral artery. The time for gaining
access, screening time, radiation dose, patient height, weight and
complications were recorded. All patients were reviewed the day after
the procedure and within 3 months. Data from 46 patients (34 males and
12 females) in the retrograde group and 44 (28 males and 16 females) in
the antegrade group were available for analysis. Mean procedure time,
screening time, radiation dose, height and weight were 8.3 minutes
(range 3–22), 2.1 minutes (0.3–6.5), 7950 mGy cm−2
(820–71250), 169 cm (149–204) and 79 kg (32–108) for retrograde
puncture and 8 min (2–60), 0.7 min (0.0–3.2), 1069 mGy
cm−2 (0–15400), 169 cm (152–186) and 75 kg (39–125) for
antegrade punctures, respectively. An average of 1.2 (1–2) punctures
was required for retrograde and 1.75 (1–8) for antegrade. Seven small
hematomas occurred with antegrade and three for retrograde puncture.
Retrograde puncture is technically easier with a tendency to fewer
complications but results in a higher radiation dose. This technique
should be used in difficult patients at high risk of haematoma
formation.