Peripheral Vascular Complications After ... - Semantic Scholar
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Peripheral Vascular Complications After ... - Semantic Scholar
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Peripheral Vascular Complications After Conventional and Complex Percutaneous Coronary Interventional Procedures David W. M. Mullet-,MBBS, Kenath J. Shamir, MD, Stephen G. Ellis, MD, and Eric J. Topol,
To determine whether complex cardiovascular interventtonal procedures (imluding coronary stent implantation, directional atherectomy, aortk valvuloplasty, and the use of an intraaortic balloon pump or cardiopulmonary bypass support) are associated with an increased liketiheed of vascular access site comptkations, 2,400 consecutive cardiac catheterization procedures were prospectively screened over a 1Zmonth study period. Complications occurred in 35 patients after 39 procedures (1.6%) and inebuled the need for vascular surgkal repair (17 patients), blood transfuston (26 patients) and systemk antibiitk therapy (7 patients). The incidence of complications after 1,519 diagnostic studies was 0.6%, after 698 conventional coronary balloon angkpfasties 2.6%, and after 183 cemplex interventions 6.0% (p 2 hours’ duration and 14% eccurred in patients in whem arterial sheaths remained in situ for >24 hours. Detailed demo graphic and procedural characteristics were compared between the 35 patients wfth vascular compgcations and 150 patients randomly drawn from a computerized database of the uncomplicated procedures performed during the screening period. By univarfate analysis with correctton for mufttpte comparisons, variables predicting the likelihood of vascular comptkations included: pertprocedural use ef hepatin (p
