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Peripheral Vascular Access Complications After Percutaneous Procedures: A Single-Center Experience Cover

Peripheral Vascular Access Complications After Percutaneous Procedures: A Single-Center Experience

Open Access
|Dec 2025

Figures & Tables

Characteristics of the patients enrolled in the study

VariablePatients (n = 73)
Demographic data
Age (years), mean ± s.d.65.7 ± 13.3
Male, n (%)44 (60.2%)
Female, n (%)29 (39.8%)
BMI <24.9914 (19.18%)
BMI 25–29.9931 (42.47%)
BMI 30–34.9922 (30.14%)
BMI 35–39.995 (6.85%)
BMI >401 (1.37%)
Comorbidities and risk factors
Hypertension46 (63.01%)
Diabetes mellitus27 (36.99%)
Cardiopathies73 (100%)
Peripheral arterial disease14 (19.18%)
Chronic kidney disease19 (26.03%)
Liver disease6 (8.22%)
Active smoking25 (36.99%)
Obesity32 (43.84%)
Dyslipidemia26 (35.62%)

Comparison between literature review and study results

CategoryLiterature reviewStudy resultsNotes/Comparison
AgeOlder age increases complication risk1,3,5Mean age 65.7 ± 13.3 years; 87.6% >50 yearsConfirms older patients as high-risk
SexWomen may have a higher bleeding risk; radial vs. femoral differences noted3,2160.2% men; pseudoaneurysm 48.3% in women vs. 40.9% in men; hematoma 34.5% vs. 20.5%Trends align; differences not significant
Major cardiovascular risk factorsHypertension, diabetes, dyslipidemia, smoking1,3,7Hypertension 42.4%, diabetes 36.9%, dyslipidemia 35.6%, smoking 34.2%Quantitative confirmation of literature
ComorbiditiesPAD, renal disease, coagulopathies, anemia4,6,10Cardiopathy 97.5%, anemia 67.1%, PAD 32.8%, CKD 26%, coagulopathies 28.7%Supports comorbidity-related risk
Procedural risk factorsLarge-bore sheaths, repeated interventions, complex PCI/TAVR3,9,15,27Previous interventions increase risk (p < 0.001); femoral access predominatesConfirms literature
Common complicationsPseudoaneurysm, hematoma, fistula, retroperitoneal hemorrhage1,3,5,14Pseudoaneurysm 43.8%, hematoma 26%, fistula 20.5%, others 9.6%Matches literature; pseudoaneurysm most frequent
Access siteFemoral high-risk; radial reduces bleeding3,2190% femoral complicationsFully aligned with literature
ManagementMinimally invasive: thrombin injection, US-guided compression, endovascular repair, VCDs; surgery for severe cases14,2226,32Surgery: suture 67.1%, plasty 23.3%, reconstruction 8.2%, bypass 1.4%Study focuses on surgical interventions; literature emphasizes percutaneous first
Previous interventionsIncrease risk with repeated punctures1,3,945.2% vs. 42.9%; p < 0.001Quantitative confirmation
Closure devices/Percutaneous techniquesReduce risk; operator skill critical; bioabsorbable systems emerging24,3134Not reportedLiterature provides procedural context
Prevention and planningSheath-to-artery ratio, US guidance, imaging, expertise15,27,35Not reportedLiterature emphasizes prevention
Statistical associationsRisks qualitatively described1,3,7Previous interventions significant (p < 0.001); sex differences NSStudy provides numerical support

Overview of procedures, complications, and anesthetic approaches

VariablePatients (n = 73)
Hemostatic type, n (%)
Angio-Seal/Proglide23 (31.51%)
Manual50 (68.49%)
Intervention type, n (%)
Coronarography34 (46.58%)
Angioplasty25 (34.25%)
TAVI17 (23.29%)
ECMO3 (4.11%)
Cannulation5 (6.85%)
Endoprosthesis2 (2.74%)
Complication type, n (%)
Pseudoaneurysm46 (63.01%)
Hematoma27 (36.99%)
Others73 (100%)
Anesthesia type, n (%)
Local46 (63.01%)
Analgo-sedation5 (6.85%)
General anesthesia22 (30.14%)
DOI: https://doi.org/10.2478/jce-2025-0018 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 164 - 171
Submitted on: Oct 7, 2025
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Accepted on: Nov 9, 2025
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Published on: Dec 27, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Marius Mihai Harpa, Ştefania Cătălina Anghel, Alexandru Stan, Ayman Elkahlout, David-Emanuel Anitei, Mircea Catalin Cosarca, Cosmin Marian Banceu, Horatiu Suciu, Hussam Al-Hussein, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.