Reasons for repeat urgent cardiac procedures within the same day.
Sukhdeep Bhogal1, Mohil Garg2, Namratha S Meda2
1Section of Interventional Cardiology, Sovah Health, Martinsville, Virginia, USA.
Summary
Few patients require same-day repeat cardiac catheterization procedures. Vascular complications and repeat percutaneous coronary intervention (PCI) are primary reasons, highlighting the need for careful vascular access management and post-procedure chest pain assessment.
Area of Science:
- Cardiology
- Interventional Cardiology
- Patient Safety
Background:
- Technological advancements aim to minimize same-day repeat procedures in cardiac catheterization labs.
- Understanding reasons for repeat procedures is crucial for improving patient outcomes.
Purpose of the Study:
- To identify and analyze the reasons for patients returning for urgent repeat procedures in the cardiac catheterization laboratory on the same day.
- To inform strategies for reducing same-day repeat cardiac procedures.
Main Methods:
- Retrospective review of patients undergoing cardiac catheterization procedures between November 2013 and January 2022.
- Exclusion of patients transferred from outside centers.
- Identification of indications for both initial and repeat procedures.
Main Results:
- Out of 55,942 procedures, 140 required same-day repeat interventions.
- Vascular complications (24.2%) and repeat percutaneous coronary intervention (PCI) (20.7%) were the most frequent reasons for repeat procedures.
- Acute limb ischemia and pseudoaneurysm were common vascular complications.
Conclusions:
- Same-day repeat cardiac catheterization procedures are infrequent.
- Vascular access management and post-procedure chest pain evaluation are critical areas for attention to prevent same-day repeat procedures.
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