The document discusses prevention and treatment of complications from groin punctures during cardiac procedures. It describes optimal puncture sites, common complications like hematomas, and treatments for minor oozing or more serious bleeding. Risk factors for complications include age, diabetes, obesity, and large sheath sizes. Manual compression is recommended to control bleeding, along with monitoring vital signs.

1. Prevention and Treatment Of Groin Presented By Jacob Mason CIS

3. Angiographic anatomy The optimal puncture site for femoral artery access is 1-2 cm below the inguinal ligament.

4. The boney area is use to help achieve hemostasis by giving you a solid foundation to compress the femoral.

5. Vascular complications are a major preventable cause of morbidity and mortality from invasive cardiac procedures.

15. Loss of blood under the skin directly as a result of arterial/venous injury. A hematoma is more than just a ”bruise” in that it forms a lump which hardens.

18. Bleeding into retroperitoneal cavity

22. After the inferior epigastric artery the Illiac artery takes a dive.

24. Apply direct pressure 1-2 cm above site

25. Correct Compression Method Incorrect You will find pressing down with your finger tips is less fatiguing. On the obese patient, you will not be able to get enough force down to the arteriotomy.

27. Safety is defined as the percentage of patients with major or minor vascular complications. Minor vascular complications are hematoma greater than 10 cm, arteriovenous fistulas, or pseudo aneurysm. Major vascular complications are death due to vascular complications, vascular repair, major vascular bleeding where hemoglobin level decreases more than 3 g/dL due to bleeding at the access site or retroperitoneal bleeding, vessel occlusion, and loss of pulse. Effectiveness is defined as the percentage of patients in whom the device was deployed successfully and the femoral artery was closed.

37. Bifurcation of the profunda and superficial femoral artery Sheath inserted above the inferior epigastric artery

38. Femoral artery diameter here is less than 3 cm

39. A tear in the wall of the iliacs that causes blood to flow between the layers of the wall . Diseased and small right femoral artery

41. Hemostat placement Femoral head

42. Anatomical layout

46. Ulnar artery Is the blood vessel, with oxygenated blood, of the medial aspect of the forearm Radial artery is the main blood vessel with oxygenated blood of the lateral aspect of the forearm.

47. Is used to test blood supply to the hand. It is performed prior to cannulation

49. Both arteries are open Release ulnar with radial occluded Occlude both ulnar and radial

50. Diagnostic Release slowly over 15 minutes Intervention Release slowly over 20 minutes

51. zero tolerance Having a For bleeding

52. 4 x 6 resource flyer Cut out and laminate