Beruflich Dokumente
Kultur Dokumente
•Co-Principal Investigators
•Mazen Abu-Fadel, MD, University of Oklahoma HSC
•Morton Kern, MD, UC-Irvine Medical Center and Long Beach VA
•Co-Investigators
•Jeffrey Sparling, Soni Zacharias, Timothy Daly, Thomas Hennebry
•Alexander Harrison, Will Suh, Jesus Vera, Pranav Patel, Rex Winters
•Supported by
•General Clinical Research Center at OUHSC, Chris Aston, PhD
•Long Beach Memorial Medical Foundation
Background
• 30 day followup
Entry Criteria
• Successful common
femoral artery (CFA)
cannulation
above bifurcation and below
origin of inferior epigastric
artery
• Prespecified Subgroups:
High CFA bifurcation (above
inferior border of femoral
head)
Obese (BMI > 30)
PVD
Secondary Endpoints
Fluoroscopy Ultrasound
N=501 N=503
Fluoroscopy Ultrasound
Characteristic P-value
N=501 N=503
Fluoroscop
Ultrasound P-value
y
High
24 (4.9) 33 (6.6) 0.25
stick
CFA 408 (83.3) 431 (86.4) 0.15
Low
58 (11.8) 35 (7.0) <0.01
Procedural Outcomes
First Pass Success Rate
Number of Attempts
100%
82.7%
5 90% p < 0.000001
p < 0.000001
80%
4
3 70%
Attempts
60% 46.4%
3
50%
40%
2 1.3
30%
1 20%
10%
0 0%
10%
100
2.4%
5%
0% 0
Fluoroscopy Ultrasound
Characteristic P-value
N=31 N=35
Fluoroscopy Ultrasound
Complication P-value
N=501 N=503
89%
p= NS
88% 87.6%
87%
86.4%
86%
Percent
85%
84%
83.3% 83.3%
83%
82.4%
82%
81%
80%
10
+
6
5
y
4-
15
-1
op
7-
11
sc
ro
Ultrasound Procedures
uo
Fl