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Updated: Feb 5, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
A Practical Approach to the Management of Complications During Percutaneous Coronary Intervention
Francesco Giannini1, Luciano Candilio2, Satoru Mitomo1
1Unit of Cardiovascular Interventions, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Insights
Percutaneous coronary intervention (PCI) improves outcomes for chronic ischemic heart disease and acute coronary syndromes. This review details potential PCI complications and their essential management strategies for cardiologists.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Percutaneous coronary intervention (PCI) is a key treatment for ischemic heart disease and acute coronary syndromes.
- Optimal medical therapy may not suffice for all chronic ischemic heart disease patients.
- PCI offers symptom relief and modifies disease progression but carries procedural risks.
Purpose of the Study:
- To review potential complications associated with percutaneous coronary intervention.
- To provide practical management strategies for these complications.
- To enhance cardiologist preparedness for adverse procedural events.
Main Methods:
- Literature review of percutaneous coronary intervention complications.
- Synthesis of current evidence on complication identification and management.
- Focus on practical, actionable guidance for clinicians.
Main Results:
- Identification of a spectrum of potential adverse outcomes during PCI.
- Outline of timely and effective management protocols for various complications.
- Emphasis on the critical role of prompt recognition and intervention.
Conclusions:
- Understanding and managing PCI complications is crucial for patient safety.
- This review equips cardiologists with essential knowledge for minimizing procedural risks.
- Effective complication management can be life-saving in interventional cardiology.
Abstract:
Percutaneous coronary intervention relieves symptoms in patients with chronic ischemic heart disease resistant to optimal medical therapy and alters the natural history of acute coronary syndromes. However, adverse procedural outcomes may occur during the intervention. Knowledge of possible complications and their timely management are essential for the practicing cardiologist and can be life-saving for the patient. In this review, the authors summarize potential complications of percutaneous coronary intervention focusing on their practical management.
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