الفهرس 
Acknowledgement
Peripheral Arterial DiseaseOnly 14 pages are availabe for public view
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Abstract
Access site complications occur after peripheral vascular interventions in patients with peripheral arterial disease. Individual risk level for access site complications in patients undergoing peripheral vascular intervention may be predicted.
Our series included 210 patients complaining of PAD, in whom percutaneous endovascular procedures have been performed through different access site arteries, using different access guidance.
Aim of our study was to describe the incidence of ASCs and determine the risk factors for ASCs in patients who undergo Endovascular interventions for PAD at.
Of all patients included in this study, access site complications were encountered in 23 patients (11%). Nine patients (4.3%) presented with thrombosis of the accessed artery and picture of acute ischemia of the related limb. Eight patients (3.8%) had access site hematoma. Four patients (1.9%) complained of external bleeding. Two patients (0.95%) presented with femoral artery pseudoaneurysm.
Univariate analysis of demographic, procedure, and access site data demonstrated that advanced age (p= 0.027), hypertension (p= 0.011), increased BMI (p= 0.015), small vessel diameter (p= 0.031), and prolonged procedure time (p=<0.0001) were the significant predictors of access site complications. However, analysis of these data using a multivariate logistic regression model revealed that increased BMI (p= 0.011), and prolonged procedure time (p= 0.004) are the only significant independent predictors of access site complications.
Early detection, proper management and meticulous follow up of ASCs provide better outcome after peripheral vascular interventions in patients with peripheral arterial disease.