Propensity score analysis of vascular complications after diagnostic cardiac catheterization and percutaneous coronary intervention 1998-2003

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Robert J ApplegateWilliam C Little

Abstract

To evaluate the adjusted risk of vascular complications after manual compression and vascular closure devices for femoral artery access site management in a large contemporary cohort, using propensity score analysis. Vascular closure devices (VCD) allow early ambulation after cardiac procedures involving femoral artery access, but whether the benefit of use of vascular closure devices (VCD) is offset by reduced safety in contemporary practice remains uncertain. Twenty one thousand eight hundred and forty one consecutive diagnostic cardiac catheterization (n = 13,124) and percutaneous coronary intervention procedures (n = 8,717) performed via a femoral access at a single site (WFUBMC) between 1998 and 2003 were evaluated. VCD's were used based on operator preference. Propensity to receive a vascular closure device (VCD) was calculated. The relative incidence of vascular complications was evaluated by logistic regression models, using the propensity score as a covariate. Overall, the unadjusted incidence of any vascular complication was 1.3% for VCD use and 1.4% for manual compression, p = NS. The propensity score-adjusted odds ratio for any vascular complication comparing VCD (n = 8,707) to manual compression (n = 13,034) was 0....Continue Reading

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Citations

Dec 25, 2009·Circulation. Cardiovascular Interventions·Sripal BangaloreFrederic S Resnic
Apr 27, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Joel ArbelMorris Mosseri
Nov 1, 2006·Future Cardiology·Timothy A Sanborn
Dec 15, 2012·Journal of Thrombosis and Thrombolysis·Bina AhmedHarold L Dauerman
Aug 8, 2008·The Canadian Journal of Cardiology·Albert W Chan, Robert I G Brown
Feb 24, 2010·International Journal of Nursing Studies·Andrea Cornelia AugustinRogério E Sarmento-Leite
Sep 15, 2009·Annals of Vascular Surgery·Mario Castillo-SangGregory Kasper
Feb 10, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert ApplegateRenato Santos
Feb 8, 2008·Journal of Interventional Cardiology·Amit PrasadEmmanouil S Brilakis
Sep 27, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Zoltan G Turi
Mar 14, 2007·The American Journal of Cardiology·Frederic S ResnicMatthew R Reynolds
Jul 17, 2008·Expert Opinion on Pharmacotherapy·Matthew A CavenderE Magnus Ohman
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Oct 6, 2010·Circulation·Manesh R PatelUNKNOWN American Heart Association Diagnostic and Interventional Cardiac Catheterization Committee of the Council on Clinical Cardio
Apr 17, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Zoltan G Turi
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Feb 3, 2009·Critical Care Nurse·Wallace J Hamel
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