A Case of Local Groin Abscess Caused by Transfemoral Coronary Procedures

Abstract

Bacterial infection due to coronary angiography is an uncommon but important complication of percutaneous coronary intervention (PCI) which is responsible for significant morbidity and extended hospital stay. The reasons for this symptom are still unclear. We report a case of local groin abscess two weeks after the latest procedure. The reasons responsible for the groin abscess in this case might be diabetes mellitus without being properly controlled, left ventricular (LV) systolic dysfunction, multiple operations in the same site, the usage of vascular closure device (VCD), and long time pressure after the procedure. We should pay enough attention to these risk factors in the future clinical practice to avoid this serious complication.

Share and Cite:

Zhang, D. , Lyu, S. and Song, X. (2015) A Case of Local Groin Abscess Caused by Transfemoral Coronary Procedures. Open Journal of Clinical Diagnostics, 5, 54-57. doi: 10.4236/ojcd.2015.52010.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Samore, M.H., Wessolossky, M.A., Lewis, S.M., et al. (1997) Frequency, Risk Factors, and Outcome for Bacteremia after Percutaneous Transluminal Coronary Angioplasty. The American Journal of Cardiology, 79, 873-877.
http://dx.doi.org/10.1016/S0002-9149(97)00006-4
[2] Mccready, R.A., Siderys, H., Pittman, J.N., et al. (1991) Septic Complications after Cardiac Catheterization and Percutaneous Transluminal Coronary Angioplasty. Journal of Vascular Surgery, 14, 170-174.
http://dx.doi.org/10.1067/mva.1991.29134
[3] Malanoski, G.J., Samore, M.H., Pefanis, A., et al. (1995) Staphylococcus Aureus Catheter-Associated Bacteremia. Minimal Effective Therapy and Unusual Infectious Complications Associated with Arterial Sheath Catheters. Archives of Internal Medicine, 155, 1161-1166.
http://dx.doi.org/10.1001/archinte.1995.00430110069007
[4] Munoz, P., Blanco, J.R., Rodriguez-Creixems, M., et al. (2001) Bloodstream Infections after Invasive Nonsurgical Cardiologic Procedures. Archives of Internal Medicine, 161, 2110-2115.
http://dx.doi.org/10.1001/archinte.161.17.2110
[5] van Werkum, J.W., Ten, B.J., Thijs, P.H., et al. (2008) Staphylococcus Aureus Infection Complicating Percutaneous Coronary Interventions. International Journal of Cardiology, 128, 201-206.
http://dx.doi.org/10.1016/j.ijcard.2007.05.037
[6] Biancari, F., D’Andrea, V., Di Marco, C., et al. (2010) Meta-Analysis of Randomized Trials on the Efficacy of Vascular Closure Devices after Diagnostic Angiography and Angioplasty. American Heart Journal, 159, 518-531.
http://dx.doi.org/10.1016/j.ahj.2009.12.027

Copyright © 2021 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.