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06:10
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
3.4K
International percutaneous coronary intervention complication survey
Bahadir Simsek1, Spyridon Kostantinis1, Judit Karacsonyi1
1Department of Cardiology, Minneapolis Heart Institute, Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA.
Summary
Interventional cardiologists express high concern about percutaneous coronary intervention (PCI) complications like death and perforation. Improved management algorithms and experienced operators could enhance patient outcomes and reduce physician stress.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Education
Background:
- Periprocedural complications in percutaneous coronary intervention (PCI) are a significant concern for interventional cardiologists (ICs).
- Limited research exists on ICs' perceptions and management strategies for PCI complications.
Purpose of the Study:
- To investigate interventional cardiologists' (ICs) perceptions of the frequency, impact, and management strategies for percutaneous coronary intervention (PCI) complications.
- To identify areas for improvement in the management of PCI-related adverse events.
Main Methods:
- An online survey with 46 questions was distributed to interventional cardiologists (ICs) via email lists and Twitter.
- The survey assessed perceptions of PCI complication frequency, impact, management strategies, and preferred learning methods.
Main Results:
- A 7% response rate (821 ICs) was achieved, with most participants highly concerned about PCI complications (median score 7.2/10).
- Death (39%), coronary perforation (26%), and stroke (9%) were the most feared complications. Novel management techniques like covered stents, fat, or coils for perforations were infrequently used.
- Most ICs attributed complications to patient/angiographic complexity and viewed them as improvement opportunities, with 97% interested in further education on complication management.
Conclusions:
- Interventional cardiologists (ICs) are highly concerned about percutaneous coronary intervention (PCI) complications.
- Adherence to complication management algorithms and access to experienced operators may reduce stress and improve patient outcomes.
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