Vnitr Lek 2006, 52(1):51-56

Vascular complications after direct percutaneous coronary interventions

M. Orban^1,*, O. Hlinomaz¹, F. Lehár¹, M. Rezek¹, M. Eisenberger¹, Z. Konečný², L. Groch¹

¹ I. interní kardioangiologická klinika Lékařské fakulty MU a FN u sv. Anny, Brno, přednosta prof. MUDr. Jiří Vítovec, CSc., FESC

² II. chirurgická klinika Lékařské fakulty MU a FN u sv. Anny, Brno, přednosta doc. MUDr. Jindřich Leypold, CSc.

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.

Keywords: pseudoaneurysm; direct percutaneous coronary intervention; myocardial infarction

Received: April 4, 2005; Accepted: November 8, 2005; Published: January 1, 2006  Show citation