AUTHOR=Li Jiazheng , Cao Zhanjiang , Zhang Tong , Zhao Keqiang , Zhao Junlai , Yang Yu , Jiang Chao , Li Zipeng , Zhu Rongrong , Wu Weiwei 

TITLE=Meta-analysis of ultrasound-guided and traditional femoral artery puncture

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 10 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1161834

DOI=10.3389/fcvm.2023.1161834

ISSN=2297-055X

ABSTRACT=Objective: To compare the ultrasound guidance and traditional methods in femoral artery puncture.Methods: We searched the databases to evaluate the rate of success on first attempt and the incidence of hematoma. The random effect model was used for meta-analysis to estimate the odds ratio (ORs), mean difference (MD) and 95% confidence interval (CIs).Results: A total of 9 articles including 2361 patients. The rate of success on first attempt were 79.6% (1289/1619) and 54.1% (883/1644) in the ultrasound group and traditional method group respectively (OR=3.14 (95%CI=2.30-4.28), combined OR value Z=7.23 (P<0.00001)). The incidences of hematoma in the ultrasound group and traditional puncture group were 1.4% (16/1168) and 3.8% (45/1193) respectively (OR=0.41, 95%CI=0.17-1.00, p=0.05).Conclusion: Ultrasound-guided femoral artery puncture has certain advantages compared to traditional puncture about success on first attempt, and the incidence of hematoma. Moreover, ultrasound-guided reduced the incidence of hematoma in retrograde puncture group.