All of these techniques require a patent lumen of the artery for the puncture site
. As the passage of the guidewire through the occluded artery is the most critical stage of the angioplasty procedure, antegrade approach is generally the first choice to pass the occluded segment.
Intraoperative Variables of Both the Groups Variables Group A (n = 110) Group B (n = 110) OT time (minutes) 62.06 [+ or -] 12.89 72.22 [+ or -] 17.55 Puncture Site
Inferior calyx (%) 76 (69.1 %) 85 (77.3 %) Middle calyx (%) 24 (21.8 %) 13 (11.8 %) Superior calyx (%) 10 (9.1 %) 12 (10.9 %) Variables p-Value OT time (minutes) < 0.0001 (#) Inferior calyx (%) Middle calyx (%) 0.138 ($) Superior calyx (%) Data expressed as absolute number, percentage and mean [+ or -] SD; SD--Standard deviation; (#)--Unpaired t-test; ($)--Chi-square test; p-value < 0.05 was considered as statistically significant Table 4.
Percutaneous renal artery stent placement is considered a safe procedure with the risk of complications being 5-15%.3,4 Common complications include groin haematoma at the puncture site
, branch vessel occlusion, and renal artery dissection.
The formula was then derived by measuring the distance from the puncture site
to the SVC/RA junction (10).
Video 4: control femoral angiography showing occlusion of the common femoral artery just caudal to the puncture site
. (Supplementary Materials)
This ensures a steady flow of blood into their stomachs by preventing clot formations at the puncture site
After injection, the puncture site
was compressed for 5 min using the cap.
Nevertheless, at the start of hemodialysis, change of puncture site
is proposed for each hemodialysis session, particularly to allow the healing of stab wounds and to avoid possible complications (i.e., hematoma, dilatation of the venous conduit, stenosis, infections, pseudoaneurysm) (Besarab & Kumbar, 2014; Sidawy et al., 2008; Stolic, Grbic, Odalovic & Smilic, 2015; Twardowski, 1995; Verhallen, Kooistra, & vanJaarsveld, 2007).
Digital subtraction angiography is not recommended due to its invasive nature which may lead to new pseudoaneurysm on the puncture site
. Arterial ligation, excision of the aneurysmal sac or arterial reconstruction (end to end or graft interposition) are the surgical treatment options.
After checking the radial puncture site
is healing and there are no signs of infection, she spends an hour or so chatting, practising whanaungatanga, and finding out about him and how he is progressing.
The patient reported that he felt a sting followed by immediate pain and bleeding from the puncture site
. He became diaphoretic with continued pain and experienced minimal relief after removing the barbs from the puncture site
, taking aspirin and ibuprofen, and soaking his arm for 2 hours in a warm water bath.