4-French (168 procedures) | 6-French (152 procedures) | Access Site Characteristic for BOTH 4Fr and 6Fr procedures | ||
---|---|---|---|---|
Difference in complication rates (Cx = complication) | p - value | |||
Patient side of puncture | ||||
Left | 72 | 69 | Left (n = 141, Cx in 5.7%) vs right groin (n = 178, Cx in 6.7%) | p = 0.696 |
Right | 95 | 83 | ||
Unrecorded | 1 | |||
Seniority of operator | ||||
Junior radiology trainee | 16 | 16 | Junior (n = 32, Cx in 0.0%) vs senior operator (n = 287, Cx in 7.0%) (fellow or consultant) | p = 0.240 |
Interventional radiology fellow | 132 | 116 | ||
Consultant | 20 | 19 | ||
Unrecorded | 0 | 1 | ||
Direction of puncture | ||||
Retrograde | 118 | 124 | Retrograde (n = 242, Cx in 4.6%) vs antegrade (n = 78, Cx in 11.5%) puncture | p = 0.027 |
Antegrade | 50 | 28 | ||
Artery punctured | ||||
External Iliac Artery | 1 | 1 | ||
CFA | 161 | 144 | CFA (n = 305, Cx in 6.2%) vs SFA (n = 13, Cx in 7.1%) | p = 0.604 |
SFA | 6 | 7 | ||
Number of passes | ||||
1 | 142 | 130 | Single (n = 272, Cx in 5.5%) vs multiple (n = 48, Cx in 10.4%) passes | p = 0.200 |
> 1 | 26 | 22 | ||
Vessel calcification: Nil | 43:125 | 72:80 | Calcified (n = 115, Cx in 8.7%) vs non-calcified (n = 205, Cx in 4.9%) | p = 0.176 |
Scarred groin: Nil | 14:154 | 39:113 | Scarred (n = 53, Cx in 5.7%) vs non scarred (n = 267, Cx in 6.4%) | p > 0.999 |
Habitus | ||||
Raised BMI: normal/low | 57:111 | 37:114 | Raised (n = 94, Cx in 5.3%) vs normal BMI (n = 225, Cx in 6.7%) | p = 0.651 |
Unrecorded | 1 | |||
Puncture technique | ||||
Manual palpation | 45 | 6 | Manual palpation (n = 51, Cx in 2.0%) vs image guided (n = 269, Cx in 7.1%) | p = 0.219 |
Fluoroscopic guidance | 9 | 7 | ||
Ultrasound | 62 | 81 | ||
Combination | 52 | 58 | ||
Anticoagulation during procedure | 2 unavailable | 4 unavailable | ||
Nil | 104 | 46 | Anticoagulation (n = 164, Cx in 7.9%) vs none (n = 150, Cx in 3.3%) | p = 0.093 |
Intra-arterial heparin (3–5000 Units) | 62 | 102 | ||
Closure method | ||||
Manual compression | 163 | 87 | Manual compression (n = 250, Cx in 6.4%) vs closure / compression device (n = 68, Cx in 5.8%) | p = > 0.999 |
Angioseal | 4 | 54 | ||
Exoseal | 1 | 5 | ||
Additional femstop | 0 | 3 | ||
Other (unrecorded) vascular closure device | 0 | 1 | ||
Vascular sheath left in-situ | 0 | 1 | ||
Unrecorded | 1 |