{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:50:25Z","timestamp":1777668625311,"version":"3.51.4"},"reference-count":8,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:00:00Z","timestamp":1602806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We compared access\u2010site complications with a Micropuncture 21\u2010gauge (G) needle to a standard 18G needle in patients undergoing femoral\u2010access percutaneous coronary intervention (PCI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Vascular access\u2010site complications are the most common complication after cardiac catheterization. These complications increase patient morbidity and mortality, along with healthcare costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed a cohort of 17,844 consecutive patients undergoing PCI. Micropuncture access was used in 2344 patients and a standard 18G needle in 15,500 patients. Primary endpoints included vascular perforation or limb ischemia requiring repair, retroperitoneal bleeding, pseudoaneurysm, arteriovenous fistula, groin hematoma (&gt;4\u00a0cm).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients undergoing PCI with Micropuncture were at higher risk: they were on anticoagulation (557 [23.7%] vs. 1,590 [10.2%], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), used steroids more frequently (131 [5.6%] vs. 638 [4.1%], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and required the use of an intra\u2010aortic balloon pump more often (191 [(8.1%] vs. 896 [5.7%], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Overall, the access\u2010site complications rate was lower using Micropuncture (58 [2.5%]) versus standard needle (558 [3.6%], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.005). The Micropuncture group had a significantly lower rate of hematoma than standard needle (32 [1.4%] vs. 309 [1.9%], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.03). There was no significant difference in the rate of limb ischemia (1 [0.04%] vs. 12 [0.07%], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.56), perforation (2 [0.08%] vs. 14 [0.09%], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.93), retroperitoneal bleeding (3 [0.12%] vs. 18 [0.11%], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.87), pseudoaneurysm (18 [0.76%] vs. 170 [1.09%], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.14), and arteriovenous fistula (2 [0.08%] vs. 35 [0.22%], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.16), comparing the Micropuncture group to a standard needle, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Femoral access using a Micropuncture reduced the rate of vascular complications with significant reduction in the rate of groin hematomas.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29330","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T14:26:58Z","timestamp":1602858418000},"page":"1379-1385","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Micropuncture technique for femoral access is associated with lower vascular complications compared to standard needle"],"prefix":"10.1002","volume":"97","author":[{"given":"Itsik","family":"Ben\u2010Dor","sequence":"first","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avinash","family":"Sharma","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toby","family":"Rogers","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"},{"name":"Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charan","family":"Yerasi","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian C.","family":"Case","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chava","family":"Chezar\u2010Azerrad","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anees","family":"Musallam","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian J.","family":"Forrestal","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayder","family":"Hashim","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson","family":"Bernardo","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6446-2683","authenticated-orcid":false,"given":"Lowell F.","family":"Satler","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4063-9226","authenticated-orcid":false,"given":"Ron","family":"Waksman","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology MedStar Washington Hospital Center  Washington District of Colombia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23330"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-013-0669-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000362536"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(03)00079-6"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0267659117727825"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV6I2A33"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.109.896704"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.04.015"}],"container-title":["Catheterization and Cardiovascular 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