Bacteremia following complex percutaneous coronary intervention

Complex percutaneous coronary intervention (PCI) often requires introduction of numerous devices into and out of the arterial circulation and this may result in an increased risk of bacteraemia or even septicaemia. This study was undertaken to detect the frequency of bacteraemia that may be associat...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2004-11, Vol.16 (11), p.632-634
Main Authors: Ramsdale, David R, Aziz, Shahid, Newall, Nick, Palmer, Nick, Jackson, Mark
Format: Article
Language:English
Subjects:
Adult
Age Distribution
Aged
Aged, 80 and over
Analysis of Variance
Angina Pectoris - diagnosis
Angina Pectoris - therapy
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - methods
Bacteremia - epidemiology
Bacteremia - microbiology
Cohort Studies
Emergency Medical Services
Endocarditis, Bacterial - epidemiology
Endocarditis, Bacterial - microbiology
Female
Gram-Negative Bacteria - isolation & purification
Gram-Positive Bacteria - isolation & purification
Humans
Male
Middle Aged
Myocardial Infarction - diagnosis
Myocardial Infarction - therapy
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Postoperative Period
Prevalence
Risk Assessment
Severity of Illness Index
Sex Distribution
Survival Analysis
United Kingdom - epidemiology
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Summary:Complex percutaneous coronary intervention (PCI) often requires introduction of numerous devices into and out of the arterial circulation and this may result in an increased risk of bacteraemia or even septicaemia. This study was undertaken to detect the frequency of bacteraemia that may be associated with such procedures. 147 patients undergoing complex PCI had blood culture tests immediately after and 12 hours after the procedure. Of 147 patients, 26 (17.7%) had detectable bacteraemia immediately after PCI. Coagulase-negative staphylococcus was isolated most commonly. An additional 12% of patients yielded positive blood cultures in the next 12 hours with femoral sheaths still in-situ. There were no associated clinical sequelae. Uncomplicated bacteraemia is not uncommon as a result of complex PCI procedures. Although there are usually no clinical sequelae, these findings are important for those patients who are considered to be at moderate or high risk of infective endocarditis who require an invasive procedure such as PCI. This paper emphasizes the need for maximum sterility during PCI procedures if infective complications and stent infection are to be avoided.
ISSN:1042-3931