Lokale und systemische Komplikationen nach perkutanen Interventionen in der Therapie der peripheren arteriellen Verschlusskrankheit

Gefässchirurgie - Tập 26 - Trang 219-224 - 2021
A. Heller, K. Meisenbacher1, D. Dovzhanskiy, C. Uhl1, A. Billing2, D. Böckler1
1Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
2Gefäßchirurgie und Gefäßzentrum Offenbach, Sana Klinikum Offenbach, Offenbach, Deutschland

Tóm tắt

Die Angaben zu Komplikationsraten nach perkutanen Interventionen in der Behandlung der peripheren arteriellen Verschlusskrankheit (pAVK) variieren in der Literatur, zwischen 2,4 und 18,1 % sind beschrieben. Hierunter werden sowohl Zugangs- bzw. punktionsbedingte Komplikationen als auch systemische Komplikationen, wie z. B. kardiovaskuläre Ereignisse erfasst. Aufgrund des hohen Stellenwerts interventioneller Techniken in der pAVK-Versorgung, zunehmend auch im ambulanten Sektor, sowie vor dem Hintergrund eines hoch komorbiden Patientenkollektivs ist die Kenntnis potenzieller Risikofaktoren sowie die Prävention möglicher Komplikationen von Relevanz. Fast 90 % der Komplikationen treten innerhalb des ersten postinterventionellen Tages auf. Dabei korreliert das Auftreten von Komplikationen mit einem schlechteren Outcome bezogen auf die 30-Tages- und 1‑Jahres-Mortalität sowie den Amputationsraten. Jedoch erschwert die fehlende Anwendung einer einheitlichen Terminologie die Erfassung und insbesondere die Vergleichbarkeit der Ergebnisse. Der vorliegende Artikel soll daher eine Übersicht über mögliche Komplikationen perkutaner Interventionen in der pAVK-Therapie geben und diese unter Berücksichtigung möglicher Risikofaktoren in den klinischen Kontext einordnen.

Tài liệu tham khảo

Aboyans V, Ricco J‑B, Bartelink M‑LEL et al (2018) 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 55:305–368 Ates M, Sahin S, Konuralp C et al (2006) Evaluation of risk factors associated with femoral pseudoaneurysms after cardiac catheterization. J Vasc Surg 43:520–524 Axisa B, Fishwick G, Bolia A et al (2002) Complications following peripheral angioplasty. Ann R Coll Surg Engl 84:39–42 Behrendt CA, Heidemann F, Haustein K et al (2017) Percutaneous endovascular treatment of infrainguinal PAOD: Results of the PSI register study in 74 German vascular centers. Gefässchirurgie 22:17–27 Bettmann MA, Heeren T, Greenfield A et al (1997) Adverse events with radiographic contrast agents: results of the SCVIR contrast agent registry. Radiology 203:611–620 Bhardwaj B, Spertus JA, Kennedy KF et al (2019) Bleeding complications in lower-extremity peripheral vascular interventions: insights from the NCDR PVI registry. JACC Cardiovasc Interv 12:1140–1149 Burns BJ, Phillips AJ, Fox A et al (2000) The timing and frequency of complications after peripheral percutaneous transluminal angioplasty and iliac stenting: is a change from inpatient to outpatient therapy feasible? Cardiovasc Intervent Radiol 23:452–456 Cox T, Blair L, Huntington C et al (2015) Systematic review of randomized controlled trials comparing manual compression to vascular closure devices for diagnostic and therapeutic arterial procedures. Surg Technol Int 27:32–44 Danetz JS, Mclafferty RB, Schmittling ZC et al (2004) Predictors of complications after a prospective evaluation of diagnostic and therapeutic endovascular procedures. J Vasc Surg 40:1142–1148 Dangas G, Mehran R, Kokolis S et al (2001) Vascular complications after percutaneous coronary interventions following hemostasis with manual compression versus arteriotomy closure devices. J Am Coll Cardiol 38:638–641 Dauerman HL, Applegate RJ, Cohen DJ (2007) Vascular closure devices: the second decade. J Am Coll Cardiol 50:1617–1626 Dencker D, Pedersen F, Engstrom T et al (2016) Major femoral vascular access complications after coronary diagnostic and interventional procedures: a Danish register study. Int J Cardiol 202:604–608 Dick P, Barth B, Mlekusch W et al (2008) Complications after peripheral vascular interventions in octogenarians. J Endovasc Ther 15:383–389 Farouque HM, Tremmel JA, Raissi Shabari F et al (2005) Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices. J Am Coll Cardiol 45:363–368 Frank JJ, Kamalakannan D, Kodenchery M et al (2010) Retroperitoneal hematoma in patients undergoing cardiac catheterization. J Interv Cardiol 23:569–574 Gabriel M, Pawlaczyk K, Waliszewski K et al (2007) Location of femoral artery puncture site and the risk of postcatheterization pseudoaneurysm formation. Int J Cardiol 120:167–171 Gross-Fengels W, Müller-Hülsbeck S (2020) Komplikationen in der interventionellen Gefäßmedizin – Diagnostik und Therapie. In: Debus ES, Gross-Fengels W (Hrsg) Operative und interventionelle Gefäßmedizin. Springer, Berlin, Heidelberg, New York, S 365–373 Hackl G, Gary T, Belaj K et al (2015) Risk factors for puncture site complications after endovascular procedures in patients with peripheral arterial disease. J Vasc Surg 49:160–165 Jaffery Z, Shamai L, White CJ (2011) Preprocedural hemoglobin predicts mortality following peripheral vascular interventions. Catheter Cardiovasc Interv 78:599–603 Kent KC, Moscucci M, Mansour KA et al (1994) Retroperitoneal hematoma after cardiac catheterization: prevalence, risk factors, and optimal management. J Vasc Surg 20:905–910 Lawall H, Huppert P, Rümenapf G (2015) S3-Leitlinie zur Diagnostik, Therapie und Nachsorge der peripheren arteriellen Verschlusskrankheit (Deutsche Gesellschaft für Angiologie und Deutsche Gesellschaft für Gefäßmedizin) Levin SR, Farber A, Bertges DJ et al (2019) Larger sheath size for Infrainguinal endovascular intervention is associated with minor access site hematomas and longer length of stay. J Vasc Surg 69:e162 Malyar MN, Stausberg J, Ito WD et al (2017) Rationale and design of the RECording COurses of vasculaR Diseases registry (RECCORD registry). Vasa 46:262–267 Mccullough PA, Wolyn R, Rocher LL et al (1997) Acute renal failure after coronary intervention: incidence, risk factors, and relationship to mortality. Am J Med 103:368–375 Noori VJ, Eldrup-Jørgensen J (2018) A systematic review of vascular closure devices for femoral artery puncture sites. J Vasc Surg 68:887–899 Norgren L, Hiatt WR, Dormandy JA et al (2007) Inter-society consensus for the management of peripheral arterial disease (TASC II). Eur J Vasc Endovasc Surg 33(Suppl 1):S1–S75 Ortiz D, Jahangir A, Singh M et al (2014) Access site complications after peripheral vascular interventions: incidence, predictors, and outcomes. Circ Cardiovasc Interv 7:821–828 Patel MR, Jneid H, Derdeyn CP et al (2010) Arteriotomy closure devices for cardiovascular procedures: a scientific statement from the American Heart Association. Circulation 122:1882–1893 Perings SM, Kelm M, Jax T et al (2003) A prospective study on incidence and risk factors of arteriovenous fistulae following transfemoral cardiac catheterization. Int J Cardiol 88:223–228 Robertson L, Andras A, Colgan F et al (2016) Vascular closure devices for femoral arterial puncture site haemostasis. Cochrane Database Syst Rev 3:Cd9541 Sato K, Iida O, Takahara M et al (2015) Effect of perioperative complications after endovascular therapy in patients with peripheral artery disease due to femoropopliteal lesions. J Vasc Surg 61:1272–1277 Shammas NW, Lemke JH, Dippel EJ et al (2003) In-hospital complications of peripheral vascular interventions using unfractionated heparin as the primary anticoagulant. J Invasive Cardiol 15:242–246 Sheth RA, Walker TG, Saad WE et al (2014) Quality improvement guidelines for vascular access and closure device use. J Vasc Interv Radiol 25:73–84 Spiliopoulos S, Karnabatidis D, Katsanos K et al (2016) Day-case treatment of peripheral arterial disease: results from a multi-center European study. Cardiovasc Intervent Radiol 39:1684–1691 Stoner MC, Calligaro KD, Chaer RA et al (2016) Reporting standards of the Society for Vascular Surgery for endovascular treatment of chronic lower extremity peripheral artery disease. J Vasc Surg 64:e1–e21 Turi ZG (2008) An evidence-based approach to femoral arterial access and closure. Rev Cardiovasc Med 9:7–18 Wheatley BJ, Mansour MA, Grossman PM et al (2011) Complication rates for percutaneous lower extremity arterial antegrade access. Arch Surg 146:432–435 White CJ, Gray WA (2007) Endovascular therapies for peripheral arterial disease. Circulation 116:2203–2215