Postcatheterization vascular complications associated with percutaneous transluminal coronary angioplasty.

摘要: Abstract The threat of a vascular complication exists in association with any percutaneous arterial catheterization, but is greater the more complex interventional techniques. During 3½-year period from January 1985 through June 1988, 4988 transluminal coronary angioplasty procedures were performed at Emory University Hospital. All patients given heparin during cardiac intervention, and all had catheter introducer left place for several hours after completion procedure. Fifty-five iatrogenic complications developed 52 (1%), resulting 54 corrective operations. Pseudoaneurysm, most frequent complication, was seen 35 (64%). This followed by arteriovenous fistula eight (15%), uncontrolled hemorrhage six (11%), thrombosis three (6%), peripheral embolization two (4%), bowel ischemia one patient. outcome surgical therapy entire group quite acceptable no operative mortality, extremity amputation, 7.4% rate. Variables that correlated an increased risk problems included advanced age, female gender, thrombolytic therapy, postprocedural anticoagulation. did not appear to correlate hypertension, diabetes, prior angioplasty, antiplatelet or size guiding used. (J VASC SURG 1990;12:310-5.)