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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: Mar 1, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
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Management of Complications.

Peter P Monteleone1, Robert W Yeh2

  • 1Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA.

Interventional Cardiology Clinics
|June 6, 2017
PubMed
Summary

Awareness of risks associated with percutaneous coronary intervention (PCI) and coronary angiography is crucial. Understanding potential complications, from vascular access issues to coronary circulation problems, ensures informed consent and successful PCI outcomes.

Keywords:
ComplicationsCoronary dissectionCoronary perforationEmbolizationNo reflowStent lossStent thrombosisVasovagal

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Procedure Safety

Background:

  • Percutaneous coronary intervention (PCI) has advanced significantly for complex coronary artery disease.
  • Coronary angiography and PCI carry inherent risks that necessitate operator awareness.
  • Patient safety and informed consent depend on understanding these procedural risks.

Purpose of the Study:

  • To highlight the incidence and nature of risks associated with coronary angiography and PCI.
  • To emphasize the importance of recognizing and managing complications during PCI.
  • To underscore the necessity of operator expertise for successful PCI completion.

Main Methods:

  • Review of established risks associated with coronary angiography and PCI.
  • Identification of pre-procedural risks (vascular access, renal injury, allergic reaction, radiation).
  • Analysis of risks arising during PCI, specifically to coronary circulation.

Main Results:

  • Basic risks exist even before wire insertion, including vascular, renal, allergic, and radiation complications.
  • PCI initiation introduces specific risks to the coronary circulation.
  • Effective management of complications is critical for procedural success.

Conclusions:

  • Operators must be cognizant of all potential risks throughout the PCI procedure.
  • Fundamental knowledge of complication presentation and emergent management is paramount.
  • Informed patient consent requires a thorough understanding of associated risks.