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Published on: June 12, 2021
[Peripheral vascular complications after the cardiac catheterization].
Tao Zhou1, Sheng-Hua Zhou, Xiang-Qian Shen
1Department of Cardiology, Second Xiangya Hospital, Central South University, Changsha 410011, China. zhoutao6240@yahoo.com.cn
Summary
Peripheral vascular complications after cardiac catheterization are uncommon but linked to anticoagulation, diabetes, and hypertension. Timely treatment ensures a good prognosis for most patients.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Context:
- Cardiac catheterization is a common procedure with potential for vascular complications.
- Peripheral vascular complications (PVComps) can affect patient outcomes and healthcare costs.
Purpose:
- To investigate the incidence, clinical presentation, and management strategies for PVComps following cardiac catheterization.
- To identify risk factors associated with the development of PVComps.
Summary:
- A retrospective analysis of 4,531 patients revealed a 2.7% incidence of PVComps.
- Common complications included local hematoma (1.90%), pseudoaneurysm (0.33%), and arteriovenous fistula (0.18%).
- Anticoagulation, diabetes, and hypertension were identified as associated risk factors.
Impact:
- Early recognition and appropriate management, primarily conservative, lead to favorable outcomes.
- Understanding risk factors can guide preventative measures and improve patient safety during cardiac catheterization.
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