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Published on: June 12, 2021
Management of access site and systemic complications of percutaneous coronary and peripheral interventions
Thomas J Kiernan1, Andrew E Ajani, Bryan P Yan
1Cardiology Division, Section of Vascular Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Insights
Endovascular therapy for vascular diseases is growing, increasing procedural complications. Understanding and managing these access site and systemic complications is crucial for successful patient outcomes.
Area of Science:
- Cardiovascular medicine
- Interventional radiology
- Vascular surgery
Background:
- Endovascular therapy is increasingly utilized for coronary and peripheral vascular diseases.
- The expansion of endovascular procedures correlates with a rise in associated complications.
- Effective management of complications is vital for successful treatment outcomes.
Purpose of the Study:
- To review common and specific complications associated with endovascular procedures.
- To outline the management strategies for endovascular procedural complications.
- To emphasize the importance of complication awareness in vascular disease treatment.
Main Methods:
- Literature review of endovascular procedural complications.
- Classification of complications into access site-related and systemic.
- Discussion of management principles for identified complications.
Main Results:
- Procedural complications are an inevitable consequence of increased endovascular interventions.
- Complications can be broadly categorized into access site-related and systemic issues.
- Timely recognition and appropriate management are key to mitigating adverse events.
Conclusions:
- A comprehensive understanding of endovascular complications is essential for all practitioners.
- Effective management protocols can improve patient safety and treatment success.
- Continued vigilance and education are necessary as endovascular techniques evolve.
Abstract:
The role of endovascular therapy for the treatment of coronary and peripheral vascular diseases (including carotid, renal and lower extremity arteries) is expanding. The steady growth in the volume of endovascular procedures is likely to result in an absolute increase in the incidence of procedural complications. Knowledge of common and specific procedural complications and their management are critical to successful outcomes. Complications can be classified as (i) access site-related and (ii) systemic.
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