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Incidence and predictors of groin complications early after coronary artery intervention: a prospective observational

Maan Sh Al-Momani1, Mohannad Eid AbuRuz2

  • 11Royal Medical Services, Amman, Jordan.

BMC Nursing
|July 13, 2019
PubMed

Insights

Groin complications after percutaneous coronary intervention (PCI) affect 38% of patients. Identifying high-risk groups, such as females and those with high blood pressure, can help manage these common PCI complications.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Interventional Cardiology

Background:

  • Coronary artery disease (CAD) is a leading cause of global mortality.
  • Percutaneous coronary intervention (PCI) is a common treatment for CAD but carries risks.
  • Groin complications are potential adverse events following PCI procedures.

Purpose of the Study:

  • To determine the incidence rate of groin complications post-PCI.
  • To identify predictors of groin complications in patients undergoing PCI.
  • To analyze these factors within cardiac catheterization laboratories in Jordan.

Main Methods:

  • Prospective observational study of 300 patients undergoing PCI.
  • Data collected via a pre-structured observational sheet.
  • Logistic regression analysis used to identify correlated variables and predictors.

Main Results:

  • 38% of patients (114/300) experienced groin complications, most commonly ecchymosis (34%).
  • Females and patients over 65 were twice as likely to develop complications (OR=2.13-2.14).
  • Systolic blood pressure >180 mmHg before sheath removal increased complication risk tenfold (OR=9.82).

Conclusions:

  • Several factors increase the risk of groin complications after PCI.
  • Identifying high-risk patients, including females, is crucial for targeted prevention strategies.
  • Implementing specific interventions for at-risk groups may reduce complication rates.
Abstract

Keywords:
And JordanCoronary artery diseaseFemoral access siteGroin complicationPercutaneous coronary intervention

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