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Peripheral vascular complications following coronary interventional procedures

T K Nasser1, E R Mohler, R L Wilensky

  • 1Department of Medicine, Krannert Institute of Cardiology, Indiana University Medical Center, Indianapolis 46202-4800, USA.

Clinical Cardiology
|November 1, 1995
PubMed

Insights

Peripheral vascular complications after coronary interventions occur in 1.5-9% of cases. Early recognition and optimal sheath removal timing can reduce these risks, leading to better patient outcomes and shorter hospital stays.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Peripheral vascular complications are a known risk following coronary interventional procedures.
  • These complications can include hematomas, pseudoaneurysms, arteriovenous fistulae, acute arterial occlusions, cholesterol emboli, and infections.

Purpose of the Study:

  • To review the incidence, diagnosis, prevention, and treatment of peripheral vascular complications after coronary interventions.
  • To identify key predictors and discuss management strategies for these complications.

Main Methods:

  • Systematic review of the English-language literature.
  • Analysis of reported incidence rates and identified risk factors.
  • Discussion of diagnostic and therapeutic modalities.

Main Results:

  • Overall incidence of peripheral vascular complications ranges from 1.5% to 9%.
  • Major predictors include advanced age, repeat procedures, female gender, and pre-existing peripheral vascular disease.
  • Minor predictors involve anticoagulation levels, thrombolytic use, creatinine, platelet counts, and sheath size.

Conclusions:

  • Anticipation and early recognition are crucial for managing peripheral vascular complications.
  • Optimizing activated clotting time for sheath removal can minimize vascular complications and reduce hospital stays.

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