A Study of Groin Access Site Complication and Affecting Factors in Acute Ischemic Stroke Patient Receiving Transfemoral Thrombectomy Treatment

Authors

  • Wanthanee Khayankarnnawee Division of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Kulthida Sripaksa Division of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Sarinrat rattana Division of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Nittawinee Amornsuradech Department of Diagnostic and Therapeutic Radiology Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Kittiphop Somboonnithiphol Department of Diagnostic and Therapeutic Radiology Medicine, Faculty of Medicine Ramathibodi Hospital

Keywords:

Groin Access Site Complication, Thrombectomy, Acute Ischemic Stroke

Abstract

Objective: This study was aimed at exploring groin access site complications and risk factors associated with femoral arterial punctures in post-mechanical thrombectomy patients with acute ischemic stroke conditions.

Methods: A retrospective chart review was conducted for all patients treated with mechanical thrombectomy in the Acute Stroke Unit at Ramathibodi Hospital from January 2017 until December 2021. Of these, 138 patients underwent femoral arterial insertion for mechanical thrombectomy. The sample was recruited according to specific criteria. Data was collected from recorded procedural documents and analyzed using descriptive statistics and logistic regression analysis.

Results: The study revealed that overall 11.59 percent of patients had groin access site complications. The most frequent complication of retained femoral arterial sheath was groin bleeding, occurring in 4.4 percent of cases. While after femoral arterial sheath removal, 2.17 percent of patients had complications of both hematoma and ecchymosis. The study found that patient factors and therapeutic factors were not associated with groin access site complications.

Conclusion: The incidence of groin access site complications in post-mechanical thrombectomy patients with acute ischemic stroke at Ramathibodi Hospital was found to be similar to previous studies. This study demonstrates no correlation between patient and treatment factors and access site complications due to limited sample size.

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Published

2023-12-04

How to Cite

1.
Khayankarnnawee W, Sripaksa K, rattana S, Amornsuradech N, Somboonnithiphol K. A Study of Groin Access Site Complication and Affecting Factors in Acute Ischemic Stroke Patient Receiving Transfemoral Thrombectomy Treatment. J Thai Stroke Soc [Internet]. 2023 Dec. 4 [cited 2024 Jun. 26];22(3):5. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/263162

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