PMID: 9417751Aug 1, 1997Paper

Clinical value of Doppler ultrasound controlled puncture of the inguinal vessels with the "Smart Needle" within the scope of heart catheter examination

Zeitschrift für Kardiologie
R BlankR Rahmani

Abstract

Due to the increasing number of diagnostic heart catheterizations, especially in elderly patients, as well as the increase of percutaneous transluminal coronary angioplasties, we are confronted with a rise in peripheral complications evolving from difficulties in the procedure of the puncture of the femoral artery or vene. The development of greater hematomas in the area of the puncture, the formation of arterio-venous fistulas and aneurysma spuria are the foremost complications. It was the aim of the study to investigate in as far an improved puncture technique could reduce the rate of peripheral complications. In this comparative study the vessel punctures were carried out by the conventional Judkins puncture technique and a new method using a special puncture needle. (Smart Needle" R), with an integrated ultrasonic sound device. In this study 114 patients--age 23 to 82 years--undergoing heart catheterization (91 diagnostics, 23 PTCAs) were examined. In all cases a puncture of the arterial and venous femoral vessel was done. 50 patients received a puncture via "Smart Needle" and the remaining 64 patients were punctured conventionally. In contrast to the group of patients receiving conventional puncture of the femoral artery, ...Continue Reading

Citations

Sep 13, 2012·Vascular and Endovascular Surgery·Patrick A Stone, John E Campbell
May 23, 2007·Circulation·Geoffrey W WebberJeffrey W Olin

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