PCI complications: peri procedure bleeding
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Peri-procedure bleeding is one of the most frequent complications of percutaneous coronary interventions, and independent predictor of mortality.[1]
Although periprocedural bleeding is almost unavoidable clinical complication in coagulopathies, [2] manipulation after a careful evaluation of the patient may help to reduce its frequency. [3]
Pathologic Findings
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Complication during subclavian vein cannulation. Image courtesy of C. Michael Gibson and copylefted.
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Normal anatomic position of subclavian vein
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Complication during right femoral artery puncture. Image courtesy of C. Michael Gibson and copylefted.
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Complication during right femoral artery puncture. Image courtesy of C. Michael Gibson and copylefted.
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Complication of pulling out when there was resistance in a stent graft system. Part of right iliac and femoral arteries stripped with stent graft system from right femoral artery puncture site. Image courtesy of C. Michael Gibson and copylefted.
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Higher Level Puncture of Femoral Artery and Cannula Kinking. Image courtesy of C. Michael Gibson and copylefted.
References
- ↑ Ndrepepa G, Berger PB, Mehilli J, Seyfarth M, Neumann FJ, Schömig A, Kastrati A Periprocedural Bleeding and 1-Year Outcome After Percutaneous Coronary Interventions Appropriateness of Including Bleeding as a Component of a Quadruple End Point. J Am Coll Cardiol. 2008 Feb 19;51 (7):690-697 PMID 18279731
- ↑ Macdonald J, Srinivasan M, More R. Percutaneous Coronary Intervention in a Patient with von Willebrand’s Disease Presenting with an Acute Coronary Syndrome. The Journal of Invasive Cardiology Volume 18 April - Issue 4 - April 2006 - Pages: 174-77
- ↑ Kong DF, Califf RM, Miller DP, et al. Clinical outcomes of therapeutic agents that block the platelet glycoprotein IIb/IIIa integrin in ischemic heart disease. Circulation 1998;98:2829–2835.