Vascular complications following coronary intervention correlate with long-term cardiac events

We aimed to study the consequences and late outcomes of patients who experienced peripheral vascular complications (PVCs) following percutaneous coronary interventions (PCI). A retrospective analysis of the medical records of 10,669 patients who underwent PCI and experienced PVC between 1995 and 200...

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Published in:Catheterization and cardiovascular interventions 2004-06, Vol.62 (2), p.181-185
Main Authors: Kuchulakanti, Pramod K., Satler, Lowell F., Suddath, William O., Pichard, Augusto D., Kent, Kenneth M., Pakala, Rajbabu, Canos, Daniel A., Pinnow, Ellen E., Rha, Seung-Woon, Waksman, Ron
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon, Coronary
arteriovenous fistula
Coronary Artery Bypass
Coronary Disease - mortality
Coronary Disease - therapy
District of Columbia
Female
Follow-Up Studies
hematoma
Hospital Mortality
Humans
Male
Middle Aged
Multivariate Analysis
Postoperative Complications - etiology
Postoperative Complications - mortality
Predictive Value of Tests
pseudoaneurysm
Retrospective Studies
Statistics as Topic
Time
Treatment Outcome
Vascular Diseases - etiology
Vascular Diseases - mortality
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Summary:We aimed to study the consequences and late outcomes of patients who experienced peripheral vascular complications (PVCs) following percutaneous coronary interventions (PCI). A retrospective analysis of the medical records of 10,669 patients who underwent PCI and experienced PVC between 1995 and 2002 was conducted. One thousand ninety‐six patients (10.27% of the study cohort) had PVC post‐PCI. After PCI, patients with PVC had higher rates of in‐hospital complications (P < 0.001) when compared to patients without PVC, including Q‐wave myocardial infarction (MI; 1.2% vs. 0.3%), coronary artery bypass grafting (CABG; 3.8% vs. 0.6%), and death (4.0% vs. 1.0%). At 1‐year follow‐up, late complications of MI (37.4% vs. 25.4%), non‐Q‐wave MI (34.9% vs. 22.7%), death (12.9% vs. 5.9%), and CABG (5.7% vs. 4.5%) were higher (< 0.001) in patients with PVC compared to those without. Multivariate analysis identified PVC as a significant predictor of 1‐year mortality (P = 0.045). This study underscores the need to make diligent efforts to minimize PVC and follow up these patients for future coronary events. Cardiovasc Interv 2004;62:181–185. © 2004 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.20057