The risk factors for puncture site bleeding after transfemoral artery puncture intervention:a meta-analysis
10.3969/j.issn.1008-794X.2024.03.017
- VernacularTitle:Meta分析经股动脉穿刺介入术后穿刺部位出血的危险因素
- Author:
Yulian LI
1
;
Wei MO
;
Huanhuan LIU
;
Hongjiao CHEN
Author Information
1. 410005 湖南长沙 湖南省人民医院(湖南师范大学附属第一医院)
- Keywords:
femoral artery puncture;
interventional surgery;
bleeding;
risk factor;
meta-analysis
- From:
Journal of Interventional Radiology
2024;33(3):314-320
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for bleeding at the puncture site after femoral artery puncture intervention.Methods A computerized retrieval of observation studies,including cross-sectional studies,case-control studies,and cohort studies,about the risk factors for bleeding at the puncture site after femoral artery puncture intervention from the databases of China National Knowledge Infrastructure(CNKI),Wanfang,VIP,China Biomedical Literature Service(CBM),PubMed,Medline,The Cochrane Library,EMbase and Web of Science was conducted.The retrieval time period was from the establishment of the database to December 31,2022.Newcastle-Ottawa scale(NOS)was used to evaluate the quality of the included studies,and RevMan5.3 software was used to make meta-analysis of the literature data.Results A total of 8 articles with a total sample size of 35 250 patients were included in this analysis.There were 1 410 patients in the postoperative bleeding group and 33 840 patients in the non-bleeding group.The results of the meta-analysis showed that the aged(OR=2.71,95％ CI=2.17-3.38),female(OR=4.26,95％ CI=1.08-16.89),hypertension(OR=2.48,95％CI=1.69-3.63),obesity(OR=2.33,95％ CI=1.59-3.42),use of thrombolytic agents,anticoagulants or platelet antagonists(OR=2.95,95％ CI=2.24-3.89),manual compression(OR=6.78,95％ CI=1.34-34.43)were the risk factors for the bleeding at the puncture site after femoral artery puncture intervention.Conclusion The aged,female,hypertension,obesity,use of thrombolytic agents,anticoagulants or platelet antagonists,and manual compression are the risk factors for the bleeding at the puncture site after femoral artery puncture intervention.(J Intervent Radiol,2024,33:314-320)
