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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
Summary
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.