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Master Thesis

Épidémiologie des complications liées à l’abord fémoral endovasculaire

Abstract : Introduction: Femoral approached Endovascular procedures incidence is increasing. Vascular complications following them are well known. They are responsible for a significant human and economic cost due to their morbidity. The purpose of this work was to evaluate the epidemiological characteristics of patients with femoral approach complications. Materials and methods: From January the first to December the 31st, patients with femoral approached endovascular procedure were included retrospectively at Caen University Hospital. History, cardiovascular risk factors, treatments, and characteristics of the interventions were studied and analyzed. Results: Among the 1534 patients included, 39 has presented complications (36% haematomas, 31% thrombosis, 21% arterio-venous fistula, 15% false aneurysms and 7% dissection). Patients with complications were significantly older (70 vs 78 years; p<0.001). Chronic renal failure (p = 0.02), valvular heart disease (p < 0.0002) and platelet antiaggregant use were statically associated with the occurrence of the complication (p <0,001). A guide larger than 18 French, aortic valve replacement (p < 0.03) and rhythmology gestures were statistically more oftenly associated with the presence of a complication (p < 0.0005). Conclusion: Although the number of complications following an endovascular femoral approach is low, we have identified risk factors related to the patient or procedure. Work over several years would confirm our results.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02485546
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Submitted on : Thursday, February 20, 2020 - 11:22:53 AM
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  • HAL Id : dumas-02485546, version 1

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Chloé Radureau. Épidémiologie des complications liées à l’abord fémoral endovasculaire. Médecine humaine et pathologie. 2019. ⟨dumas-02485546⟩

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