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. 2020 May 15;60(5):271-275.
doi: 10.2176/nmc.oa.2019-0243. Epub 2020 Apr 15.

Analysis of Puncture Site-related Complications in Japanese Registry of Neuroendovascular Therapy (JR-NET)3

Affiliations

Analysis of Puncture Site-related Complications in Japanese Registry of Neuroendovascular Therapy (JR-NET)3

Masayuki Sato et al. Neurol Med Chir (Tokyo). .

Abstract

A subgroup analysis of puncture site-related complications listed in the Japanese Registry of NeuroEndovascular Therapy 3, based on retrospective studies, was performed. Puncture site-related complications occurred in 315 (0.73%, average age: 65.2) of 36,708 patients out of all 43,303 registered cases. Carotid artery stenting (CAS, 95 patients, 1.1%, P <0.01) and extracranial percutaneous transluminal angioplasty (PTA, 21 patients, 1.4%, P <0.01) were associated with significantly higher incidence of puncture site-related complications. The incidence of complications correlated with the number of antiplatelet drugs (P <0.001). Although 40% of the puncture complications were treated conservatively, 13% were treated endovascularly and 5% underwent open surgery.

Keywords: endovascular treatment; nationwide survey; puncture-site related complication.

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Conflict of interest statement

Conflicts of Interest Disclosure

We declare no conflicts of interest. All authors who are members of The Japan Neurosurgical Society (JNS) have registered self-reported COI disclosure statement forms online through the website for JNS members.

Figures

Fig. 1.
Fig. 1.
Univariate analysis of the antiplatelet agent status. The incidence of puncture site-related complications was significantly different between the patients receiving no medications or 1 or 2 drugs, and no medications or 3 drugs.

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