Öz
Herein we would like to share our case complicated with inguinal infection secondary to femoral haematoma after coronary angiography. A-79 years-old female underwent diagnostic coronary angiography suffered from a large haematoma in the right inguinal region where femoral artery puncture was performed at another hospital. She was treated at same hospital 16 days and discharged. She presented to our department with a deep ulcerative and ruptured wound in the femoral artery puncture site. The wound-site culture revealed E. coli. After appropriate antibiotic treatment and wound care, the deep inguinal infection began healed. Purulan material and swallowing decreased and patient discharged. After 8 days, she came back with shock presentation and hospitalised to intensive care unit, but she died within 3 hours. We emphasised that the importance of prevention and management of access site haematoma during percutaneous procedures is vital and should not be neglected in routine practice
Anahtar Kelimeler
Kaynakça
- Ricci MA, Trevisani GT, Pilcher DB. Vascular complications of cardiac catheterization. Am J Surg. 1994;167(4):375-8.
- Wyman RM, Safian RD, Portway V, et al.Current complications of diagnostic and therapeutic cardiac catheterization. J Am Coll Cardiol. 1988;12(6):1400-6.
- Franzee BW, Flaherty JP. Septic endarteritis of the femoral artery following angioplasty. Rev Infect Dis. 1991;13(4):620-3.
- Sari I, Davutoglu V, Soydinc S, et al.Deep inguinal infection after percutaneous coronary intervention. N Z Med J. 2008;121(1269):68-70.
- Cleveland KO, Gelfand MS. Invasive staphylococcal infections complicating percutaneous transluminal coronary angiogplasty: three cases and review. Clin Infect Dis. 1995;21(1):93-6.
- Polgreen PM, Diekema DJ, Vandeberg J, et al. Risk factors for groin wound infection after femoral artery catheterization: a case-control study. Infect Control Hosp Epidemiol. 2006;27(1):34-7.
- Filis K, Arhontovasilis F, Theodorou D,et al. Management of Early and Late Detected Vascular Complications Following Femoral Arterial Puncture for Cardiac 2007;48(3):134-42. Hellenic J Cardiol.
Öz
Bu yazıda koroner anjiografi sonrası femoral hematoma
sekonder inguinal enfeksiyon gelişen bir vaka sunmak
istiyoruz. Koroner anjiografi yapılan 79 yaşında bayan
hasta femoral ponksiyon yeri olan sağ inguinal bölgede
büyük bir hematomla aynı hastanede yatmış ve 16 gün
tedavi gördükten sonra taburcu edilmiş. Hasta kliniğimize
femoral ponksiyon yerinde derin ülsere ve rüptüre olmuş
yara ile başvurdu. Yara yeri kültüründe E.coli üredi.
Hastaya uygun antibiyotik tedavi ve yara yeri bakımı
yapıldı. Pürülan materyal azaldıktan ve yara yeri
iyileşmeye başladıktan sonra hasta taburcu edildi. Hasta 8
gün sonra şok tablosunda tekrar başvurdu ve hasta yoğun
bakıma yatırıldıktan 3 saat sonra yaşamını yitirdi. Bu vaka
perkütan girişimler sonrası gelişen hematomun önlenmesi
ve tedavisinin ne kadar önemli olduğunu göstermesi
açısından önem arz eder.
Anahtar Kelimeler
Kaynakça
- Ricci MA, Trevisani GT, Pilcher DB. Vascular complications of cardiac catheterization. Am J Surg. 1994;167(4):375-8.
- Wyman RM, Safian RD, Portway V, et al.Current complications of diagnostic and therapeutic cardiac catheterization. J Am Coll Cardiol. 1988;12(6):1400-6.
- Franzee BW, Flaherty JP. Septic endarteritis of the femoral artery following angioplasty. Rev Infect Dis. 1991;13(4):620-3.
- Sari I, Davutoglu V, Soydinc S, et al.Deep inguinal infection after percutaneous coronary intervention. N Z Med J. 2008;121(1269):68-70.
- Cleveland KO, Gelfand MS. Invasive staphylococcal infections complicating percutaneous transluminal coronary angiogplasty: three cases and review. Clin Infect Dis. 1995;21(1):93-6.
- Polgreen PM, Diekema DJ, Vandeberg J, et al. Risk factors for groin wound infection after femoral artery catheterization: a case-control study. Infect Control Hosp Epidemiol. 2006;27(1):34-7.
- Filis K, Arhontovasilis F, Theodorou D,et al. Management of Early and Late Detected Vascular Complications Following Femoral Arterial Puncture for Cardiac 2007;48(3):134-42. Hellenic J Cardiol.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Haziran 2015 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 1 Sayı: 2 |
