Vascular complications after direct percutaneous coronary interventions

Czech version

Authors: M. Orban ¹; O. Hlinomaz ¹; F. Lehar ¹; M. Rezek ¹; M. Eisenberger ¹; Z. Konečný ²; L. Groch ¹
Authors‘ workplace: I. interní kardio-angiologická klinika Lékařské fakulty MU a FN u sv. Anny, Brno, přednosta prof. MUDr. Jiří Vítovec, CSc., FESC ¹; II. chirurgická klinika Lékařské fakulty MU a FN u sv. Anny, Brno, přednosta doc. MUDr. Jindřich Leypold, CSc. ²
Published in: Vnitř Lék 2006; 52(1): 51-56
Category: Original Contributions

Overview

Objectives:
We assessed the rate and identified risk factors for postprocedure vascular complications following direct percutaneous intervention (dPCI).

Methods:
Data were collected on 881 consecutive patients who underwent dPCI in our cath-lab from January 2002 to December 2003. Multivariate regression was used to identify characteristics associated with vascular complications.

Results:
Out of 881 patients, hematoma was found in 148 (16,8 %) cases. Pseudoaneurysm was detected by ultrasound in 40 (4,5 %) patients, 5 (0,6 %) patients underwent surgery. Variables associated with increased risk included age, female sex, low body mass index (BMI) and body surface area (BSA) and presence of diabetes mellitus.

Conclusions:
Predicting the risk of post-PCI vascular complications is feasible. This information may be useful for clinical decision-making and institutional efforts at quality improvement.

Key words:
pseudoaneurysm - direct percutaneous coronary intervention - myocardial infarction

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