Femoral Artery Compromise from Cardiac Catheterization in Children ‐ A Multicenter Study by the CCISC (Congenital Cardiovascular Interventional Study Consortium)

Thomas J Forbes, MD, FSCAI

CCISC Risk Registry • Observational, multi‐ centered data registry – Launched in 2008 – Participating Sites: 21 – Registered cases: 20,229  (2014.4.23)

• Data Collection – – – – –

Demographics Procedure Types Hemodynamic data Radiation dosage Complication

– ABP MOC Part 4 Activity

http://ccisc.net/

CCISC Risk Registry Participating Sites [15 US sites] • Advocate Children’s Hospital • Arnold Palmer Hospital for Children • Children’s Healthcare of Atlanta • Children’s Hospital Colorado • Children’s Hospital of Chicago • Children’s Hospital of Michigan • Duke University • Mayo Clinic • Miami Children’s Hospital • Phoenix Children’s Hospital • University Hospitals Case Medical  Center • University of California San Francisco • University of Iowa Children’s Hospital • University of Minnesota • University of Mississippi Medical  Center

[6 International sites] • Hospital Privado de Cordoba,  Argentina • Instituto Dante Pazzanese de  Cardiologia, Brazil • Sanatorio Allende, Argentina • Clinica Cardiovascular Santa Maria,  Colombia • Evelina Children’s Hospital, UK • Fundacion Valle del Lili, Colombia

Background • Complications with femoral arterial access – – – – – –

Arterial thrombosis Arteriovenous fistula Pseudoaneurysm Rebleeding Retroperitoneal hematoma Access closure device complications

• Potential consequences of femoral artery  compromise – Ischemic limb – Limb‐length discrepancy – Inability to obtain subsequent femoral arterial access

Background • Pulse Loss after  catheterization  using femoral  arterial access Transverse view

• Thrombosis in iliac‐ femoral arterial  system Longitudinal view

Objectives • To assess the risk factors of femoral artery  compromise in children undergoing cardiac  catheterization through femoral arterial access

Methods • CCISC Risk Registry data (Jun 2008 – Dec 2013) • Inclusion criteria – Patients aged