Standard Versus Ultrasound-Guided Cannulation of the Femoral Artery in Patients Undergoing Invasive Procedures: A Meta-Analysis of Randomized Controlled Trials

Journal of Clinical Medicine
Sabato SorrentinoCiro Indolfi

Abstract

It is unclear whether or not ultrasound-guided cannulation (UGC) of the femoral artery is superior to the standard approach (SA) in reducing vascular complications and improving access success. We sought to compare procedural and clinical outcomes of femoral UGC versus SA in patients undergoing percutaneous cardiovascular intervention (PCvI). We searched EMBASE, MEDLINE, Scopus and web sources for randomized trials comparing UGC versus SA. We estimated risk ratio (RR) and standardized mean differences (SMDs) with 95% confidence intervals (CIs) for categorical and continuous variables, respectively. Primary efficacy endpoint was the success rate at the first attempt, while secondary efficacy endpoints were access time and number of attempts. Primary safety endpoints were the rates of vascular complications, while secondary endpoints were major bleeding, as well as access site hematoma, venepuncture, pseudoaneurysms and retroperitoneal hematoma. This meta-analysis has been registered on Centre for Open Science (OSF) (osf.io/fy82e). Seven trials were included, randomizing 3180 patients to UGC (n = 1564) or SA (n = 1616). Efficacy between UGC and SA was the main metric assessed in most of the trials, in which one third of the enrol...Continue Reading

References

Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Mar 16, 2005·The International Journal of Cardiovascular Imaging·Oliver DudeckJens Ricke
May 30, 2009·Journal of the American College of Cardiology·Brendan J DoyleDavid R Holmes
Jul 28, 2009·Journal of Clinical Epidemiology·David MoherUNKNOWN PRISMA Group
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group
Apr 18, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Murat GedikogluUgur Ozkan
Oct 24, 2014·Cardiovascular and Interventional Radiology·Michael M SlatteryMichael J Lee
Feb 16, 2017·Circulation. Cardiovascular Interventions·Michel R Le May, George A Wells
Apr 17, 2017·Journal of the American College of Cardiology·Sabato SorrentinoGeorge D Dangas
Jan 6, 2018·Seminars in Thrombosis and Hemostasis·Sabato SorrentinoGeorge D Dangas
May 23, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Phong NguyenCraig Juergens

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Citations

Sep 11, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Colum KeohaneWael Tawfick
Sep 17, 2020·Journal of Clinical Medicine·Sabato SorrentinoCiro Indolfi
Mar 2, 2021·Journal of Cardiothoracic and Vascular Anesthesia·P MeaniF Pappalardo
Jul 10, 2021·The Journal of Trauma and Acute Care Surgery·James E ManningJames D Ross

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Clinical Trials Mentioned

NCT03537118

Software Mentioned

PROSPERO
Cochrane

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