关键词: 神经介入; 穿刺点并发症; 危险因素; 护理

Abstract: Objective To explore the clinical risk factors of postprocedural femoral artery puncture site complications in patients who received neuroendovascular therapy. Methods Patients who received neuroendovascular therapy through femoral artery puncture in Neurointervention Center, Beijing Tiantan Hospital, Capital Medical University from March to September 2019 were retrospectively analyzed. A multivariate analysis was used to analyze the clinical risk factors of puncture site complications, including errhysis, subcutaneous hematoma, retroperitoneal hematoma, pseudoaneurysm, and arteriovenous fistula of the lower extremities. Results A total of 1240 patients were enrolled in the study, including 76 cases (6.13%) with complications and 1164 (93.87%) cases without complications. The univariate analysis showed male, femoral artery suture, use of compressor, and postoperative hypertension were correlated with the complications. The multivariate analysis showed femoral artery suture (OR 2.371, 95%CI 1.467-3.831, P =0.001), use of compressor (OR 2.183, 95%CI 1.268-3.760, P =0.005), and postoperative hypertension (OR 1.778, 95%CI 1.004-3.151, P =0.049) were independent risk factors for puncture site complications. Conclusions For patients who underwent interventional therapy via femoral artery access, femoral

artery suture, use of compressor and postoperative hypertension were independent risk factors for

puncture

Key words: Neurointervention; Puncture site complication; Risk factor; Nursing