THE USE OF ULTRASONOGRAPHY IN MANAGEMENT OF VASCULAR COMPLICATIONS SEQUEL TO FEMORAL ARTERY CATHETERIZATION

Abstract

Introduction Ensuring proper femoral artery access is important, as vascular access-site complications remain a significant cause of morbidity and mortality in cardiac catheterization and percutaneous interventions using the femoral approach.These complications are classified as major or minor. The preferred diagnostic test is duplex ultrasonography, which includes B-mode imaging, color flow imaging, and Doppler pulse wave analysis. Duplex imaging and pulse wave analysis help distinguish between different pathologies.Interventional procedures are performed under ultrasound guidance in clinically stable patients presenting with PSA, AVF, or drainable non-communicating hematomasAim The aim of this study was to assess the role of ultrasonography in management of vascular complications sequel to femoral artery catheterization in Alexandria main university hospital.PATIENTS:The study was carried on (30) patients who had femoral artery catheterization procedures and presented by vascular complications to the radio diagnosis department in Alexandria University Hospital from October 2023 till February 2025.METHODS: All patients were subjected to: Detailed personal, medical, and surgical history, taking clinical examination focused on the groin and thigh to identify signs of complications, laboratory investigations including CBC, PT, aPTT, PA and INR. Renal function tests were done when contrast-enhanced imaging was required, ultrasound assessment of the area of concern, non-enhanced MDCT of the abdomen and pelvis was performed in one patient,