Complications of percutaneous coronary angioplasty
Journal Title: Polski Przegląd Kardiologiczny - Year 2008, Vol 10, Issue 3
Abstract
Over the last 30 years percutaneous transluminal coronary angioplasty (PTCA) has become the principal way treating coronary artery disease (CAD). With more advanced armamentarium and technical improvements we can observe an expansion of indications for those procedures, despite higher risk in patients with numerous commorbidities. On the other hand it enhances the probability of complications, systemic or local including myocar-dial ischaemia, arrhythmias, coronary artery perforation, cardiac stroke. Experienced invasive cardiologist may quickly diagnose and cure those problems using drugs, intraaortic balloon pump (IABP), stentgrafts etc. However, other general complications, such as contrast induced nephropa-thy (CIN), neurological diseases and major bleedings, postradiation injury are very significant and may affect patient safety and long-term outcomes. Local complications - hemorrhagic effusions, aneurysms, distal embolization, although less serious, have significant implications on in-hospital stay and cost-effectiveness. Therefore, during patient qualification to PTCA and procedure performing we should assess both possible benefits of treatment as well as the possibility of complications, negatively influencing on general outcome.
Authors and Affiliations
Jarosław Rzezak, Piotr Kwiatkowski
Keywords
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