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

Pramod K. Kuchulakanti, Lowell F. Satler, William O. Suddath, Augusto D. Pichard, Kenneth M. Kent, Rajbabu Pakala, Daniel A. Canos, Ellen E. Pinnow, Seung-Woon Rha, Ron Waksman

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)181-185
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume62
Issue number2
DOIs
Publication statusPublished - 2004 Jun 1
Externally publishedYes

    Fingerprint

Keywords

  • Arteriovenous fistula
  • Hematoma
  • Pseudoaneurysm

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Kuchulakanti, P. K., Satler, L. F., Suddath, W. O., Pichard, A. D., Kent, K. M., Pakala, R., Canos, D. A., Pinnow, E. E., Rha, S-W., & Waksman, R. (2004). Vascular complications following coronary intervention correlate with long-term cardiac events. Catheterization and Cardiovascular Interventions, 62(2), 181-185. https://doi.org/10.1002/ccd.20057