Abstract
Percutaneous coronary intervention (PCI) is increasingly employed in the treatment of patients with symptomatic coronary disease. However both coronary angiography and PCI are invasive procedures with a risk of complications. The majority of data pertaining to such complications are based on retrospective analyses and these may underestimate the real-world frequency of complications. Trans-radial radial access has been shown to be associated with lower rate of bleeding complications in patients undergoing PCI. However there has been some concern that high volume radial centres may experience higher complication rates in those patients that undergo PCI via femoral access. We prospectively collected data on complications following all diagnostic coronary angiography and PCI procedures performed in a high volume radial centre over a 12 month period. Data on all patients undergoing diagnostic coronary angiography and PCI procedures were included within this study. All in-procedure complications were recorded during the case and confirmed by the interventional cardiologist. A dedicated pro-forma recording all post-procedure complications was completed by a cardiology nurse designated to the care of the patient. Monthly reports of all procedures undertaken in the institution were generated and cross-checked to ensure 100% completion rate. In the event that forms were not completed, staff performed chart reviews and obtained the data by review of physician and nursing records. In the case of uncertainty, independent review was undertaken by a cardiologist. Over the 12 month period 3222 consecutive procedures were undertaken. We will report the rate of complications including access site bleeding will be compared in patients undergoing transfemoral and transradial cases and also with respect to peri-procedural pharmacotherapy received. Data on the complications post catheterisation and percutaneous coronary intervention procedures is usually collected retrospectively or from selected patients recruited in clinical trials. We will report prospectively collected outcome from an unselected cohort of patients undergoing diagnostic angiography and PCI within a high volume radial centre.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
