Prevention of Groin Vascular Complications Associated with Percutaneous Procedures

David Hasdai*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Groin vascular complications are frequent problems associated with percutaneous interventions. The potential for these problems may increase as more potent antiplatelet and anticoagulant regimens are tested and become more widely used. Prevention of these complications involves consideration of several factors including 1) technical factors of arterial entry; 2) early sheath removal; 3) careful monitoring of the patient after sheath removal; and 4) measurement of activated clotting time and 5) consideration of weight adjustment of heparin in selected patients in whom adjunctive medications are given. If local bleeding occurs, prompt evaluation is required to assess the site of bleeding, the reason for bleeding, and magnitude of hemodynamic compromise. Often local vascular complications can be treated without need for other invasive procedures. Prevention of vascular complications is essential to optimize the outcome of interventional cardiology care.

Original languageEnglish
Pages (from-to)119-125
Number of pages7
JournalJournal of Invasive Cardiology
Issue number2
StatePublished - 1997
Externally publishedYes


  • Percutaneous procedures
  • Vascular complications


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