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Welcome to the 2024 Ohio-ACC FIT Bootcamp
Episode 6: Vascular Access and Related Complications
with Salvatore Savona, MD, FACC
Video Introduction
Dear Ohio-ACC Colleague,
Welcome back to the final episode of the 2024 Ohio-ACC FIT Bootcamp! Dr. Marissa Edmiston and I hope that you found the Bootcamp content allowed you to learn at your own pace, fitting seamlessly into your busy schedule. Please reach out to us, and let us know your comments. Your sixth episode arrives now!
EPISODE 6
A key understanding of vascular access-related complications is paramount for the inpatient management of cardiac patients. This episode examines strategies to reduce complications that are addressed initially, with guidance that applies to vascular access for all types of procedures. An understanding of the acute and chronic management of complications, which can be life-threatening, is also of equal importance when managing these patients.
Teaching points:
- Radial arterial access is safer and more common, though femoral access is still utilized for challenging anatomy, structural heart interventions, and EP procedures.
- Femoral access complications can be reduced with the use of a Micropuncture (12G) needle, ultrasound guidance, and an angiogram prior to proceeding.
- Most common femoral complications include hematoma, pseudoaneurysm, and RP bleed.
- Access site bleeding management starts with holding pressure, followed by resuscitation and reversal of anti-thrombotic/anticoagulants if necessary.
- If a patient remains unstable despite above interventions, may need endovascular intervention vs. surgery.
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