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Vascular complications following coronary intervention correlate with long-term cardiac events

Pramod K Kuchulakanti1, Lowell F Satler, William O Suddath

  • 1Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|June 2, 2004
PubMed

Insights

Peripheral vascular complications (PVCs) after percutaneous coronary interventions (PCI) significantly increase in-hospital and one-year risks for myocardial infarction, death, and need for coronary artery bypass grafting.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Interventional Cardiology

Background:

  • Peripheral vascular complications (PVCs) are a known risk following percutaneous coronary interventions (PCI).
  • Understanding the long-term consequences of PVCs post-PCI is crucial for patient management.

Purpose of the Study:

  • To investigate the in-hospital and late outcomes of patients who developed PVCs after PCI.
  • To identify PVC as a predictor of mortality following PCI.

Main Methods:

  • Retrospective analysis of 10,669 patients undergoing PCI between 1995 and 2002.
  • Comparison of complication rates between patients with and without PVC post-PCI.
  • Multivariate analysis to assess predictors of 1-year mortality.

Main Results:

  • 10.27% of patients experienced PVC post-PCI.
  • Patients with PVC had significantly higher in-hospital rates of Q-wave myocardial infarction (MI), coronary artery bypass grafting (CABG), and death.
  • At 1-year follow-up, PVC patients showed increased rates of MI, death, and CABG, with PVC being a predictor of 1-year mortality.

Conclusions:

  • Peripheral vascular complications post-PCI are associated with substantially worse in-hospital and late outcomes.
  • Minimizing PVC during PCI and vigilant follow-up are essential for patients experiencing these complications.

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