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1

Hudson, Timothy L., Susan F. Dukes, and Karen Reilly. "Use of Local Anesthesia for Arterial Punctures." American Journal of Critical Care 15, no. 6 (November 1, 2006): 595–99. http://dx.doi.org/10.4037/ajcc2006.15.6.595.

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• Background Except for intravenous therapy, arterial access is the most common invasive procedure performed on critically ill patients. Arterial puncture is a source of pain and discomfort. Intradermal injection of lidocaine around the puncture site decreases the incidence and severity of localized pain when used before arterial puncture. • Objective To review the recommendations and studies related to the use of intradermal lidocaine to decrease pain during arterial punctures. • Methods Articles were identified by doing a systematic computerized search of MEDLINE (1980 to January 2006) to evaluate articles and reference lists of articles and a manual search of the references listed in original and review articles. English-language articles that evaluated any aspect of pain related to arterial puncture and cannulation, pain related to and methods of introducing lidocaine subcutaneously, and perceptions and use of local anesthesia for arterial or intravenous punctures were reviewed. • Results Except among anesthesia providers, the use of a local anesthetic before arterial puncture is not universal, contrary to the standard of practice. A number of false perceptions may prevent wider use of such anesthetics. • Conclusion Before a plan for behavior modification or policy change is recommended for use of local anesthesia to decrease pain associated with arterial puncture, further research must be done to determine nurses’ perceptions of use, actual practice, and currently established local policies.
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2

Tong, Zhu, Yongquan Gu, Lianrui Guo, Jianming Guo, Xixiang Gao, Jianxin Li, Zhonggao Wang, and Jian Zhang. "An Analysis of Complications of Brachial and Axillary Artery Punctures." American Surgeon 82, no. 12 (December 2016): 1250–56. http://dx.doi.org/10.1177/000313481608201235.

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To examine the complications of brachial and axillary artery punctures and the precautionary measures taken to lower their incidences. Retrospective analysis of 266 cases of brachial and axillary artery punctures was performed for angiography or angioplasty between January 2009 and December 2013 at the Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University. Complications and their causes were assessed. Among all brachial artery punctures (n = 140), there were complications in 3.6 per cent of cases, including local hematoma in 1.4 per cent, pseudoaneurysm in 0.7 per cent, acute arterial thrombosis in 0.7 per cent, and median nerve injury in 0.7 per cent. Among all axillary artery punctures (n = 126), there were complications in 10.3 per cent of cases, including local hematoma in 4.8 per cent, pseudoaneurysm in 0.8 per cent, acute arterial thrombosis in 0.8 per cent, acute venous thrombosis in 0.8 per cent, and nerve injury in 3.2 per cent. The incidence of complications was significantly lower in brachial axillary artery puncture compared with axillary artery puncture ( P < 0.05). The main factors associated with complications might be patient's vascular condition, perioperative medication, anatomical features of the artery, puncture site, successful rate of first-attempt puncture, and bandage strength. Incidence of complications of brachial and axillary artery punctures could be lowered by strengthening the choice of indications, improving the perioperative managements, being fully aware of the anatomical characteristics of the brachial and axillary arteries, and applying the standardized techniques of puncture and compression hemostasis.
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3

Katzenschlager, Reinhold, Reinhold Tischler, Georg Kalchhauser, Michael Panny, and Mirko Hirschl. "Angio-Seal Use in Patients with Peripheral Arterial Disease (ASPIRE)." Angiology 60, no. 5 (January 4, 2009): 536–38. http://dx.doi.org/10.1177/0003319708330007.

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Purpose To investigate the incidence of complications after the use of an arterial closure device (Angio-Seal) in patients with peripheral arterial disease. Methods In 105 consecutive patients after transfemoral catheterization, the puncture site was closed using a closure device (Angio-Seal). Colourflow-duplexsonography studies were conducted 1 to 4 days before, within 3 days after and 3 month after the intervention. Results All patients had peripheral arterial disease, 34 had calcification at the puncture site. Detection of calcification did not prevent device deployment. Complications (2 minor bleedings, 1 pseudoaneurysm) were not associated with high risk groups (these were: 69 antegrade punctures, 22 obese and 32 hypertensive patients). Three-month postinterventional diameter and blood velocity changes were <1%. Conclusions Patients with peripheral arterial disease in the region of the puncture site and patients at higher complication risk can safely and effectively be closed with an Angio-Seal device. At the puncture site, no lumen change can be observed 3 months postinterventional.
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4

Giner, Jordi, Pere Casan, José Belda, Mercedes González, Rosa Ma Miralda, and Joaquín Sanchis. "Pain During Arterial Puncture." Chest 110, no. 6 (December 1996): 1443–45. http://dx.doi.org/10.1378/chest.110.6.1443.

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5

Bates, D. "Local anaesthetic and arterial puncture." Emergency Medicine Journal 18, no. 5 (September 1, 2001): 378. http://dx.doi.org/10.1136/emj.18.5.378.

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6

Martens, Peter B., James A. Levine, and Gene G. Hunder. "Splinter hemorrhages following arterial puncture." Arthritis & Rheumatism 39, no. 1 (January 1996): 169–70. http://dx.doi.org/10.1002/art.1780390124.

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7

Ellison, Norig, and David R. Jobes. "Arterial puncture during venous cannulation." Journal of Cardiothoracic Anesthesia 3, no. 1 (February 1989): 135–36. http://dx.doi.org/10.1016/0888-6296(89)90041-0.

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8

Hussain, T., and S. Al-Hamali. "Femoral artery occlusion with a percutaneous arterial closure device after a routine coronary angiogram: a case report and literature review." Annals of The Royal College of Surgeons of England 93, no. 6 (September 2011): e102-e104. http://dx.doi.org/10.1308/147870811x591143.

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Groin vessels are most commonly used to obtain vascular access for angiography because of their size and accessibility. Haemostasis at the puncture site can be achieved with manual compression alone or by using a vascular closure device. We highlight the case of a 68-year-old woman who developed acute claudication in the right leg after a routine diagnostic coronary angiogram when an Angio-Seal™ device had been employed to close a relatively low arterial puncture. On exploring the common femoral artery, fragments of the device were found occluding the bifurcation. A patch angioplasty was carried out and the patient’s claudicant symptoms improved. The Angio-Seal™ device has a polylactide and polyglycolide polymer anchor, a collagen plug and a suture contained within a carrier system. Haemostasis is achieved by compressing the arterial puncture site between the anchor and the collagen plug. The manufacturer’s recommended criterion for using the device safely permits its use only for common femoral artery punctures with an internal vessel diameter of 4mm. Anatomical confirmation of the puncture site and evidence of any arterial disease or stenosis in the artery is detected on fluoroscopy during the procedure. Recent meta-analyses have cast doubt on the assumption that vascular closure devices are superior to mechanical compression alone and serious complications do occur occasionally but are under-reported. Clinicians should be aware of the potentially serious problems that may occur when deciding to employ vascular closure devices, especially with an anatomically low puncture site.
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9

SPOKOJNY, ARTUR M., and TIMOTHY A. SANBORN. "Management of the Arterial Puncture Site." Journal of Interventional Cardiology 7, no. 2 (April 1994): 187–93. http://dx.doi.org/10.1111/j.1540-8183.1994.tb00902.x.

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10

Dev, Shelly P., Melinda D. Hillmer, and Mauricio Ferri. "Arterial Puncture for Blood Gas Analysis." New England Journal of Medicine 364, no. 5 (February 3, 2011): e7. http://dx.doi.org/10.1056/nejmvcm0803851.

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11

Sahni, Ashima Synghal, Hemil Gonzalez, and Aiman Tulaimat. "Effect of arterial puncture on ventilation." Heart & Lung 46, no. 3 (May 2017): 149–52. http://dx.doi.org/10.1016/j.hrtlng.2017.01.011.

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12

Frye, Michael, Robert DiBenedetto, David Lain, and Keith Morgan. "Single Arterial Puncture vs Arterial Cannula for Arterial Gas Analysis after Exercise." Chest 93, no. 2 (February 1988): 294–98. http://dx.doi.org/10.1378/chest.93.2.294.

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13

Ou, Chang-Hsien, Ho-Fai Wong, Ming-Shiang Yang, Tzu-Hsien Yang, and Tzu-Lung Ho. "Percutaneous Direct Puncture Embolization for Superficial Craniofacial Arteriovenous Malformation." Interventional Neuroradiology 14, no. 2_suppl (November 2008): 19–22. http://dx.doi.org/10.1177/15910199080140s205.

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Endovascular embolization for craniofacial arteriovenous malformation has been used as preoperative adjuvant devascularization or as definitive therapy. However, because the vascular network is complex, embolization via arterial access may be ineffective, risky, incomplete or technically difficult. The purpose of this report is to describe our experience of percutaneous direct venous pouch puncture embolization. Four patients with craniofacial AVMs were treated with direct puncture embolization via injection of NBCA. After the selective transarterial angiogram, the lesions were directly punctured in the venous pouch under a road map angiogram. A glue mixture was injected, and post-embolization angiograms revealed that in all patients, the lesions had been completely obliterated without complication. Percutaneous direct puncture embolization is an effective, time saving and safe technique for the superficial craniofacial AVM with prominent venous pouch.
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14

Morton, Patricia Gonce. "Arterial puncture during central venous catheter insertion." Critical Care Medicine 27, no. 5 (May 1999): 878–79. http://dx.doi.org/10.1097/00003246-199905000-00016.

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15

Newman, Bruce H. "Arterial puncture phlebotomy in whole-blood donors." Transfusion 41, no. 11 (November 2001): 1390–92. http://dx.doi.org/10.1046/j.1537-2995.2001.41111390.x.

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16

Lorenzo, Javier Fernández, Jorge Vidal Rey, Irene López Arquillo, and Jose Manuel Encisa de Sá. "Off-label use of Proglide percutaneous closure device in iatrogenic arterial catheterizations: Our experience." Vascular 28, no. 6 (May 21, 2020): 756–59. http://dx.doi.org/10.1177/1708538120925603.

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Introduction Incidental arterial puncture is one of the main complications associated with central venous catheter placement. Manual compression to achieve hemostasis in subclavian and carotid artery punctures is often ineffective because of the anatomical arterial position. Accidental cannulation has traditionally been treated with open surgery or endovascular treatment, but such procedures are not exempt from complications. Objectives Report our experience with ultrasound-guided off-label use of Perclose ProGlide (Abbott Vascular Inc., Santa Clara, CA, USA) in patients with iatrogenic arterial cannulation. Methods Six unstable patients with accidental arterial catheterization during placement of a central venous catheter: five of them in the subclavian artery and one in the right common carotid artery. Ultrasound-guided percutaneous closure was performed at bedside using a Perclose ProGlide (Abbott Vascular Inc., Santa Clara, CA, USA). Results All patients underwent duplex ultrasound 6, 12, 24, and 48 h postprocedure, and no complications associated with percutaneous closure (embolism, ischemia, stenosis, or arterial occlusion, bleeding, pseudoaneurysm, etc.) were described. Conclusions Accidental artery puncture during central venous catheterization is an uncommon situation but can be effectively managed by using percutaneous vascular closure device. It is a reliable alternative that should be considered as a first-line approach before endovascular or open surgery, specially in patients with unstable conditions in which it is possible to be performed without transfer to an operation room.
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17

Radecka, E., M. Brehmer, K. Holmgren, and A. Magnusson. "Complications associated with percutaneous nephrolithotripsy: supra- versus subcostal access: A retrospective study." Acta Radiologica 44, no. 4 (July 2003): 447–51. http://dx.doi.org/10.1080/j.1600-0455.2003.00083.x.

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Purpose: Percutaneous nephrolithotripsy is an essential procedure for treating complex urinary calculi. To achieve optimal access to a large and complicated stone, an upper calyx puncture is often preferable. However, when performing a puncture above the 12th rib there is risk of an increased number of complications. In this retrospective study, we assessed the kind and frequency of complications after sub- and supracostal punctures of the collecting system of the kidney. Material and Methods: Between 1996 and 2001, 85 patients were treated with percutaneous nephrolithotripsy. In 63 patients a subcostal track, below the 12th rib was established. Puncture was performed under ultrasonic or fluoroscopic guidance in 61 patients and CT-guided in 2 patients. In 17 patients a supracostal puncture, above the 12th rib, was performed under CT guidance and in 5 patients with US or fluoroscopic guidance. Result: The main difference regarding preoperative complications was the number of patients complaining of respiratory correlated pain, 7 (32%) in the supracostal puncture group compared with 3 (5%) in the subcostal puncture group. No significant difference regarding peroperative complications was found. Postoperatively, there were 2 major bleedings, one in each group, which had to be treated with arterial embolization. In the supracostal puncture group there were 2 patients with pleural effusion and 2 patients with pneumothorax. Conclusion: The complication rate was slightly higher after supracostal puncture as compared with a subcostal approach, especially regarding respiratory correlated pain. When performing a supracostal puncture there is an increased risk that the track passes through the pleural space, which might explain the difference in the panorama of complications.
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18

Miao, Shuai, Xiuli Wang, Lan Zou, Ye Zhao, Guanglei Wang, Yuepeng Liu, and Su Liu. "Safety and efficacy of the oblique-axis plane in ultrasound-guided internal jugular vein puncture: A meta-analysis." Journal of International Medical Research 46, no. 7 (April 5, 2018): 2587–94. http://dx.doi.org/10.1177/0300060518765344.

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Objective This meta-analysis was performed to evaluate the safety and efficacy of the oblique-axis plane in ultrasound-guided internal jugular vein puncture. Methods We searched Embase, PubMed, the Cochrane Library, Web of Science, and China National Knowledge Infrastructure for relevant randomized clinical trials comparing the oblique axis with the short axis in ultrasound-guided internal jugular vein puncture. Results Five randomized clinical trials were included in this meta-analysis. The pooled meta-analysis showed that the incidence of arterial puncture in the oblique-axis group was significantly lower than that in the short-axis group. No significant difference was found in the first-pass success rate between the oblique-axis group and short-axis group. Additionally, there were no significant differences in the puncture success rate or number of attempts required between the two groups. Conclusion Ultrasound-guided internal jugular vein puncture using the oblique-axis plane reduced the risk of arterial puncture, but no difference was found in the first-pass success rate, puncture success rate, or number of attempts required.
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Li, Chengzhi, Huimin You, Hong Zhang, Yulong Liu, Wanghai Li, Xiaobai Wang, and Yan Zhang. "Application of relay puncture technique in treating patients with complicated lower extremity arterial diseases." PeerJ 7 (February 13, 2019): e6345. http://dx.doi.org/10.7717/peerj.6345.

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Objective This study aimed to introduce and evaluate the safety and efficacy of the relay puncture technique in patients with complicated lower extremity arterial diseases. Methods A total of 21 patients (16 male and five female patients; median age: 68.5 years old), who had suffered from lower extremity arterial diseases between December 2014 and July 2017, were retrospectively collected. For all patients, the contralateral femoral artery was not available for puncture access, and the length of the devices was too short for the brachial artery approach. Therefore, the relay puncture technique, in which the first puncture was performed on the brachial artery, followed by an antegrade puncture on the femoral artery, was used to accomplish the endovascular therapy. Percutaneous transluminal angioplasty and/or percutaneous transluminal stenting were/was used to assess the efficacy of the relay puncture technique. The ankle–brachial index (ABI) and Rutherford clinical classification were used to evaluate the improvement of symptoms after treatment. Patients were followed up for 1, 3, 6, and 12 months, and annually (mean: 16.6 months) after discharge. Results The relay puncture treatment had a 100% technical success rate, and immediately decreased the ischemic symptoms of patients after the procedure. The ABI significantly increased from 0.33 ± 0.18 to 0.75 ± 0.21 at the 1-year follow-up time point (P < 0.05). No serious complications occurred during the follow-up period. The 1-year primary patency rate was 71.43%. Conclusion The relay puncture technique is a feasible technique in the hands of experienced and skilled equipment operators for the treatment of lower extremity arterial diseases, when the contralateral femoral artery is not available for puncture, and the length of the device is too short to treat the distal lesion of the femoral artery and popliteal artery through the brachial artery approach.
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20

Dawson, D., and K. Hogg. "Topical analgesia for pain reduction in arterial puncture." Emergency Medicine Journal 22, no. 4 (March 23, 2005): 273–74. http://dx.doi.org/10.1136/emj.2005.023515.

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21

Mehan, Vivek K. "Doubtful arterial puncture during cardiac catheterisation in cyanotics." Catheterization and Cardiovascular Diagnosis 19, no. 2 (February 1990): 148. http://dx.doi.org/10.1002/ccd.1810190218.

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22

Kiev, Jon, Mark Rummel, Morris D. Kerstein, and Teruo Matsumoto. "Inguinal Lymphorrhea Following Arterial Puncture and Pseudoaneurysm Resection." Vascular Surgery 29, no. 3 (May 1995): 213–16. http://dx.doi.org/10.1177/153857449502900307.

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Ino, Toshihiro, Kenji Yazawa, Seiji Kawamura, Masanori Takeoka, and Naofumi Yashiro. "Secondary arteriovenous fistula after a single arterial puncture." Pediatrics International 43, no. 2 (April 6, 2001): 179–80. http://dx.doi.org/10.1046/j.1442-200x.2001.01357.x.

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24

Dimitrios Giotis, Vasileios Panagiotopoulos, Christos Konstantinidis, Paraskevi Vravoritou, Stefania N. Karampina, Vasiliki Telaki, Christos Kotsias, Varvara-Sylvana Kardakari, Dimitrios Vardakas, and Sotiris Plakoutsis. "Rare case of radial artery pseudoaneurysm protruding through skin after a single arterial puncture for blood-gas analysis." International Journal of Science and Research Archive 2, no. 2 (May 30, 2021): 105–9. http://dx.doi.org/10.30574/ijsra.2021.2.2.0059.

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The pseudoaneurysm of the radial artery is an infrequent complication mainly after iatrogenic procedures, with an increased incidence over the last years. The aim of the current study was to present a rare case of a radial artery pseudoaneurysm that projected through the skin after a single arterial puncture for blood-gas analysis. A 79-year-old man, with a history of atrial fibrillation and coronary heart disease on anticoagulants, was admitted to the cardiological intermediate care unit, with pulmonary oedema due to heart failure deregulation. On the next day, his left radial artery was punctured for blood-gas analysis. No other catheterization of the vessel was executed in the following days. Six days later a pulsatile, palpable mass on the skin surface, over the site of puncture, was recognized. Subsequently a Doppler ultrasound that was performed, confirmed the diagnosis of pseudoaneurysm. The pseudoaneurysm was surgically removed under general anesthesia. The patient was hospitalized for four days for trauma monitoring and intravenous antibiotics and afterwards he was discharged from the Hospital. Three months postoperatively, no sign of recurrence was observed. The pseudoaneurysm of the radial artery is an uncommon complication that might occur even after simple iatrogenic procedures, like after a direct arterial puncture for blood-gas analysis. Therefore, specialists should always be aware of this complication in similar cases.
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Rana, Zeshan, Daniel Tsyvine, Anshu Garg, Marc Cohen, and Najam Wasty. "TCT-394 True Arterial Puncture Site (TAPS) is Different from Perceived Arterial Puncture Site (PAPS) on Femoral Sheath Angiography (FSA)." Journal of the American College of Cardiology 60, no. 17 (October 2012): B113. http://dx.doi.org/10.1016/j.jacc.2012.08.423.

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26

de Swart, Hans, Lidwien Dijkman, Leo Hofstra, Frits W. Bar, Vincent Van Ommen, Jan Tordoir, and Hein J. J. Wellens. "A new hemostatic puncture closure device for the immediate sealing of arterial puncture sites." American Journal of Cardiology 72, no. 5 (August 1993): 445–49. http://dx.doi.org/10.1016/0002-9149(93)91138-8.

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Sarkadi, Hunor, Judit Csőre, Dániel Sándor Veres, Nándor Szegedi, Levente Molnár, László Gellér, Viktor Bérczi, and Edit Dósa. "Incidence of and predisposing factors for pseudoaneurysm formation in a high-volume cardiovascular center." PLOS ONE 16, no. 8 (August 24, 2021): e0256317. http://dx.doi.org/10.1371/journal.pone.0256317.

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Purpose To evaluate factors associated with pseudoaneurysm (PSA) development. Methods Between January 2016 and May 2020, 30,196 patients had invasive vascular radiological or cardiac endovascular procedures that required arterial puncture. All patients with PSA were identified. A matched (age, gender, and type of the procedure) control group of 134 patients was created to reveal predictors of PSA formation. Results Single PSAs were found in 134 patients. Fifty-three PSAs developed after radiological procedures (53/6555 [0.8%]), 31 after coronary artery procedures (31/18038 [0.2%]), 25 after non-coronary artery cardiac procedures (25/5603 [0.4%]), and 25 due to procedures in which the arterial puncture was unintended. Thirty-four PSAs (25.4%) were localized to the upper extremity arteries (vascular closure device [VCD], N = 0), while 100 (74.6%) arose from the lower extremity arteries (VCD, N = 37). The PSA prevalence was 0.05% (10/20478) in the radial artery, 0.1% (2/1818) in the ulnar artery, 1.2% (22/1897) in the brachial artery, and 0.4% (99/22202) in the femoral artery. Treatments for upper and lower limb PSAs were as follows: bandage replacement (32.4% and 14%, respectively), ultrasound-guided compression (11.8% and 1%, respectively), ultrasound-guided thrombin injection (38.2% and 78%, respectively), and open surgery (17.6% and 12%, respectively). Reintervention was necessary in 19 patients (14.2%). The prevalence of PSA for the punctured artery with and without VCD use was 37/3555 (1%) and 97/27204 (0.4%), respectively (OR, 2.94; 95% CI, 1.95–4.34; P<0.001). The effect of red blood cell (RBC) count (P<0.001), hematocrit value (P<0.001), hemoglobin value (P<0.001), international normalized ratio (INR; P<0.001), RBC count—INR interaction (P = 0.003), and RBC count—VCD use interaction (P = 0.036) on PSA formation was significant. Conclusion Patients in whom the puncture site is closed with a VCD require increased observation. Preprocedural laboratory findings are useful for the identification of patients at high risk of PSA formation.
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Devriendt, Arnaud, Emmanuel Tran-Ngoc, Philippe Gottignies, José Castro-Rodriguez, Oliver Lomas, Sophie Jamart, and Sébastien Knecht. "Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report." Case Reports in Medicine 2009 (2009): 1–3. http://dx.doi.org/10.1155/2009/728629.

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Inadvertent puncture of the subclavian artery is a relatively frequent and potentially disastrous complication of attempted central venous access. Due to its noncompressible location, accidental subclavian arterial cannulation may result in hemorrhage as the sheath is removed. We report a new case of successful percutaneous closure of the subclavian artery which had been inadvertently cannulated, using a closure device based on a collagen plug (Angio-Seal, St. Jude Medical). This was performed in a patient who had received maximal antiplatelet and anticoagulation therapies because of prior coronary stenting in the context of cardiogenic shock. There was no prior angiographic assessment, as arterial puncture was presumed to have been distal to the right common artery and vertebral arteries. No complications were observed in this high-risk patient, suggesting that this technique could be used once the procedure has been evaluated prospectively.
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Huynh, Thien J., Ryan P. Morton, Michael R. Levitt, Basavaraj V. Ghodke, Onno Wink, and Danial K. Hallam. "Republished: Successful treatment of direct carotid–cavernous fistula in a patient with Ehlers–Danlos syndrome type IV without arterial puncture: the transvenous triple-overlay embolization (TAILOREd) technique." Journal of NeuroInterventional Surgery 12, no. 11 (August 21, 2020): e8-e8. http://dx.doi.org/10.1136/neurintsurg-2017-013052.rep.

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We report successful transvenous treatment of direct carotid–cavernous fistula in a patient with Ehlers–Danlos syndrome type IV using a novel triple-overlay embolization (TAILOREd) technique without the need for arterial puncture, which is known to be highly risky in this patient group. The TAILOREd technique allowed for successful treatment using preoperative MR angiography as a three-dimensional overlay roadmap combined with cone beam CT and live fluoroscopy, precluding the need for an arterial puncture.
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Prabhu, Somnath J., Siddharth A. Padia, Karim Valji, Michael F. McNeeley, Sandeep Vaidya, and Nghia J. Vo. "Arterial closure device to achieve hemostasis in children following percutaneous femoral arterial puncture." Pediatric Radiology 43, no. 6 (January 16, 2013): 703–8. http://dx.doi.org/10.1007/s00247-012-2606-9.

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Hosokawa, Koji, Nobuaki Shime, Yuko Kato, and Satoru Hashimoto. "A Randomized Trial of Ultrasound Image–based Skin Surface Marking versus Real-time Ultrasound-guided Internal Jugular Vein Catheterization in Infants." Anesthesiology 107, no. 5 (November 1, 2007): 720–24. http://dx.doi.org/10.1097/01.anes.0000287024.19704.96.

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Background Ultrasound-guided central venous catheterization has been recommended to increase the procedural success rate and enhance patient safety. However, few studies have examined the potential advantages of one ultrasound technique with another, specifically in small infants. Methods The authors randomly assigned 60 neonates and infants weighing less than 7.5 kg to an ultrasound-guided skin-marking method (n = 27) versus real-time ultrasound-assisted internal jugular venous catheterization (n = 33). The times to successful puncture of the internal jugular vein and to catheterization were measured. Attempts at needle punctures for successful catheterization were counted. Procedural complications were recorded. Results In the real-time group, compared with the skin- marking group, venous puncture was completed faster (P = 0.03), the time required to catheterize was shorter (P &lt; 0.01), and fewer needle passes were needed. Specifically, fewer than three attempts at puncture were made in 100% of patients in the real-time group, versus 74% of patients in the skin-marking group (P &lt; 0.01). A hematoma and an arterial puncture occurred in one patient each in the skin-marking group. Conclusions The real-time ultrasound guidance method could enhance procedural efficacy and safety of internal jugular catheterization in neonates and infants.
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Ludwig, Josef, Stephan Achenbach, and Frank Flachskampf. "Transradial approach: a modified puncture technique for arterial access." EuroIntervention 6, no. 2 (June 2010): 280–82. http://dx.doi.org/10.4244/eijv6i2a45.

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33

Hoekstra, A., H. Struszczyk, and O. Kivekäs. "Percutaneous microcrystalline chitosan application for sealing arterial puncture sites." Biomaterials 19, no. 16 (August 1998): 1467–71. http://dx.doi.org/10.1016/s0142-9612(98)00060-x.

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34

Valero Marco, Antonio Vicente, Carmen Martínez Castillo, and Loreto Maciá Soler. "Local Anesthesia in Arterial Puncture: Nurses' Knowledge and Attitudes." Archivos de Bronconeumología ((English Edition)) 44, no. 7 (January 2008): 360–63. http://dx.doi.org/10.1016/s1579-2129(08)60062-2.

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D., Bhardwaj, Norris A., and Wong T. "Is skin puncture beneficial prior to arterial catheter insertion?" Journal of Neurosurgical Anesthesiology 11, no. 4 (October 1999): 297. http://dx.doi.org/10.1097/00008506-199910000-00015.

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36

Lukancic, Steven P., Albert A. Nemcek, and Robert L. Vogelzang. "Posttraumatic Intrahepatic Arterial Pseudoaneurysm: Treatment with Direct Percutaneous Puncture." Journal of Vascular and Interventional Radiology 2, no. 3 (August 1991): 335–37. http://dx.doi.org/10.1016/s1051-0443(91)72257-4.

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37

Cleveland, Greg, Sam Hill, and Scott Williams. "Arterial puncture closure using a collagen plug, II. (VasoSealTM)." Techniques in Vascular and Interventional Radiology 6, no. 2 (June 2003): 82–84. http://dx.doi.org/10.1053/tvir.2003.36450.

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38

Meier, Bernhard. "Technique of arterial femoral puncture, safe in, safe out." Catheterization and Cardiovascular Interventions 78, no. 2 (July 22, 2011): 300. http://dx.doi.org/10.1002/ccd.23282.

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39

BHARDWAJ, DIVYA, ANDREW NORRIS, and DAVID T. WONG. "Is Skin Puncture Beneficial Prior to Arterial Catheter Insertion?" Survey of Anesthesiology 44, no. 3 (June 2000): 174–75. http://dx.doi.org/10.1097/00132586-200006000-00052.

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40

Safran, Marc R., Avi Bernstein, and Malcolm A. Lesavoy. "Forearm Compartment Syndrome Following Brachial Arterial Puncture in Uremia." Annals of Plastic Surgery 32, no. 5 (May 1994): 535–38. http://dx.doi.org/10.1097/00000637-199405000-00017.

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41

Kohro, Shinji, Michiaki Yamakage, Tomoyuki Kawamata, Hiroshi Iwasaki, and Akiyoshi Namiki. "Effects of lumbar puncture position on arterial blood gases." Journal of Anesthesia 8, no. 2 (June 1994): 242–44. http://dx.doi.org/10.1007/bf02514725.

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42

Bhardwaj, Divya, Andrew Norris, and David T. Wong. "Is skin puncture beneficial prior to arterial catheter insertion?" Canadian Journal of Anesthesia/Journal canadien d'anesthésie 46, no. 2 (February 1999): 129–32. http://dx.doi.org/10.1007/bf03012546.

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43

Ding, Dale, Derek Kreitel, and Kenneth C. Liu. "Onyx Embolization of an Intracranial Hemangiopericytoma by Direct Transcranial Puncture." Interventional Neuroradiology 19, no. 4 (December 2013): 466–70. http://dx.doi.org/10.1177/159101991301900410.

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Intracranial hemangiopericytomas are uncommon but highly vascular dural-based tumors which commonly derive arterial blood supply from both intracranial and extracranial circulations. Microsurgical resection of these lesions may result in excessive blood loss without the aid of pre-operative embolization. We describe a case of a large tentorial hemangiopericytoma for which initial resection was aborted due to excessive blood loss. After failed endovascular access, we performed a direct transcranial puncture of the hemangiopericytoma through the craniotomy defect and successfully embolized the tumor with Onyx. Post-embolization gross total resection was achieved with a limited amount of operative blood loss. Direct puncture embolization provides several advantages over traditional endovascular embolization including decreased procedural duration, circumventing challenging arterial anatomy, and a lower risk of stroke in the presence of extracranial-to-intracranial anastamoses. While direct puncture embolization has been described for tumors of the neck and skull base, this is the first reported case of an intracranial hemangiopericytoma successfully devascularized by direct transcranial puncture Onyx embolization.
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Tokue, Hiroyuki, Azusa Tokue, Hideo Morita, and Yoshito Tsushima. "Successful Interventional Management for Pulmonary Arterial Injury Secondary to Pacemaker Implantation." Case Reports in Cardiology 2016 (2016): 1–3. http://dx.doi.org/10.1155/2016/4340193.

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Subclavian vein puncture is a relatively fast and safe technique to access the right heart for placement of pacemaker leads. Hemothorax related to injury of the pulmonary artery (PA) is a rare complication of subclavian vein access but can be life-threatening. We report a case of hemothorax occurring after subclavian vein puncture for pacemaker implantation. No cases of transcatheter arterial embolization for PA injury secondary to pacemaker implantation have been reported. Understanding of this rare complication after pacemaker implantation along with its specific clinical presentation may lead to early diagnosis and intervention.
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45

Henry, Michel, Max Amor, Mohamed Allaoui, and Olivier Tricoche. "A New Access Site Management Tool: The Angio-Seal™ Hemostatic Puncture Closure Device." Journal of Endovascular Therapy 2, no. 3 (August 1995): 289–96. http://dx.doi.org/10.1177/152660289500200309.

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Purpose: Given the increasing number of percutaneously applied endovascular therapies, the incidence of access-related vascular complications can be expected to rise, particularly in association with those techniques requiring large sheaths or anticoagulation. The need exists for a safe, easy to use, and effective hemostatic technique to replace the labor-intensive method of manual compression. Methods: A bioabsorbable, sheath-delivered vascular closure device (Angio-Seal™) has been developed that deposits a small collagen plug within the arterial wall to mechanically seal the puncture defect. An anchor connected by suture to the plug is first deployed in the arterial lumen and pulled flush against the interior arterial wall to guard against intraluminal deposition of the collagen. Results: The Angio-Seal device was deployed successfully in 80 (96%) of 83 attempts involving common femoral arteries accessed for peripheral angioplasty (n = 30), coronary angiography (n = 30), and coronary angioplasty (n = 16). Three popliteal artery access sites and one femoropopliteal bypass graft were also treated. Hemostasis was immediate in 78 cases (98%); 2 sites required a 5-minute manual compression to effect a secure seal. Three devices failed to deploy, and manual pressure was used to close the puncture. Nondeployment did not cause any sequelae, and no complications were encountered with the technique. Conclusions: This novel vascular closure device is quick (< 1 minute application time) and simple to use, providing a positive seal of common femoral artery puncture sites for both peripheral and coronary interventions. It appears to be a reliable alternative to standard manual hemostasis.
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Abi-Jaoudeh, Nadine, Ulku C. Turba, Bulent Arslan, Klaus D. Hagspiel, John F. Angle, Worthington G. Schenk, and Alan H. Matsumoto. "Management of Subclavian Arterial Injuries following Inadvertent Arterial Puncture during Central Venous Catheter Placement." Journal of Vascular and Interventional Radiology 20, no. 3 (March 2009): 396–402. http://dx.doi.org/10.1016/j.jvir.2008.12.409.

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Armendaris, Marinez Kellermann, Karina de Oliveira Azzolin, Fabiane Jaqueline Martins Santos Alves, Simone Giradello Ritter, and Maria Antonieta Pereira de Moraes. "Incidence of vascular complications in patients submitted to percutaneous transluminal coronary angioplasty by transradial and transfemoral arterial approach." Acta Paulista de Enfermagem 21, no. 1 (March 2008): 107–11. http://dx.doi.org/10.1590/s0103-21002008000100017.

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OBJECTIVE: To describe the vascular complications of transradial and transfemoral artery punctures in patients submitted to percutaneous transluminal coronary angioplasty (PTCA). METHODS: Prospective cohort study including patients submitted to PTCA. An interview was performed and an instrument applied to collect risk factors/predictors of complications. After the procedure, a physical examination was performed, vital signs were measured and the puncture site was assessed. RESULTS: 199 patients were included, age 64±10 years. Complications found for the radial and femoral approach were respectively: ecchymosis (18.29%), (17.14%); bruising (17.66%), (14.27%); urinary retention (2.43%), (25.71%); loss of vessel permeability (8.53%), (0%). CONCLUSION: The complications found were considered minor or secondary, depending on the classification found in literature. A higher rate of vascular complications related to transradial artery punctures compared to the interventions performed by transfemoral approach.
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Quan, ZheFeng, Liang Zhang, Chen Zhou, Ping Chi, HaiLi He, and Ying Li. "Acoustic Shadowing Facilitates Ultrasound-guided Radial Artery Cannulation in Young Children." Anesthesiology 131, no. 5 (November 1, 2019): 1018–24. http://dx.doi.org/10.1097/aln.0000000000002948.

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Abstract Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New Background Arterial cannulation in young children can be challenging. Ultrasound guidance using focused acoustic shadowing may be suitable for guiding radial artery puncture in young children. The present research tested the hypothesis that ultrasound guidance using focused acoustic shadowing helps increase the success rate of radial artery cannulation in this population. Methods In a double-blinded, parallel-group trial, 79 young children undergoing surgery under general anesthesia were randomly assigned to two groups (1:1 ratio): the traditional ultrasound group and the novel ultrasound group. Young children in the traditional group underwent conventional ultrasound-guided radial artery puncture, whereas those in the novel ultrasound group underwent radial artery puncture guided by acoustic shadowing ultrasound with double developing lines. All radial artery punctures were performed using the short-axis out-of-plane approach. The primary endpoint was the success rate of cannulation at the first attempt. The secondary endpoints included cannulation failure rate, ultrasound location time, and puncture time. Results The success rate of cannulation at the first attempt in the novel ultrasound group (35 of 39 [90%]) was significantly higher than that in the traditional ultrasound group (24 of 40 [60%]; difference: 30% [95% CI, 12 to 48%], P =0.002). None of the patients in the ultrasound with acoustic shadowing group experienced failure of radial artery puncture and cannulation. The ultrasound location time and puncture time in the ultrasound acoustic shadowing group were significantly lower than that in the traditional ultrasound group (location time: median [interquartile range]: 6 [5, 8] vs. 18 [15, 21] s; puncture time: 24 [15, 41] vs. 40 [23, 56] s). Conclusions Acoustic shadowing via the use of double developing lines significantly improved the success rate of radial artery puncture in young children, compared with that achieved with the use of traditional ultrasound guidance.
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Kadoya, Yoshito, Kan Zen, Taku Kato, Naotoshi Wada, Noriyuki Wakana, Kenji Yanishi, Naohiko Nakanishi, Takeshi Nakamura, and Satoaki Matoba. "Feasibility and Safety of Reverse Catheterization Technique of the Superficial Femoral Artery in Single-Stage Endovascular Treatment of Bilateral Infrainguinal Diseases." Vascular and Endovascular Surgery 53, no. 3 (December 18, 2018): 206–11. http://dx.doi.org/10.1177/1538574418819913.

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Purpose: We evaluated the feasibility and safety of the reverse catheterization technique of the superficial femoral artery (ReCAT) for single-stage endovascular treatment (EVT) in patients with bilateral infrainguinal diseases. Materials and Methods: We retrospectively evaluated 24 consecutive patients (overall median age: 79 years; male patients: 21 [87.5%]) who underwent EVT for bilateral infrainguinal diseases. The objective of ReCAT was to perform single-stage EVT in patients with bilateral infrainguinal diseases with a one-time unilateral femoral artery puncture. The main outcomes were the incidence of puncture site complications, including major bleeding or hematoma requiring transfusion, pseudoaneurysm, and arteriovenous fistula, and ReCAT procedure-related arterial dissection or perforation, which were assessed by ultrasonography on the day after the procedure. The secondary outcome measures were in-hospital mortality and in-hospital amputation. Results: Reverse catheterization technique of the superficial femoral artery was successful in 23 (95.8%) of the 24 patients; it failed in 1 patient due to severe calcification and a previously implanted stent in the ipsilateral iliac artery. The median operation time, radiation time, and the volume of contrast media used were 108 (84-142) minutes, 37 (27-55) minutes, and 111 (80-157) mL, respectively. There were no incidences of puncture site complications and arterial dissection related to the ReCAT procedure. One case of vessel perforation in a branch of the ipsilateral superficial femoral artery occurred due to flipped guidewire injury. Conclusion: Reverse catheterization technique of the superficial femoral artery is safe and effective in performing single-stage EVT for bilateral infrainguinal diseases. It might also reduce the number of EVTs and complications due to multiple femoral artery punctures.
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Hertting, Klaus, and Werner Raut. "Successful Use of the MYNXGRIP Closure Device during Repeated Transbrachial Percutaneous Peripheral Intervention." Case Reports in Vascular Medicine 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/346506.

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The use of closure devices after transbrachial arterial puncture is still controversial. Here we report on a case where the MYNXGRIP (AccessClosure Inc., Santa Clara, CA, USA) could be used successfully in a patient, who underwent percutaneous peripheral arterial intervention twice via transbrachial access.
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