[Local vascular complications in patients with acute myocardial infarct treated with direct percutaneous coronary intervention]

Vnitr Lek. 2006 Jan;52(1):51-6.
[Article in Czech]

Abstract

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.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Aneurysm, False / etiology
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Female
  • Hematoma / etiology
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / therapy*