Vascular complications following coronary intervention correlate with long-term cardiac events.
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.
Kuchulakanti
Pramod K
PK
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA.
Satler
Lowell F
LF
Suddath
William O
WO
Pichard
Augusto D
AD
Kent
Kenneth M
KM
Pakala
Rajbabu
R
Canos
Daniel A
DA
Pinnow
Ellen E
EE
Rha
Seung-Woon
SW
Waksman
Ron
R
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000401:mortality / Q000628:therapy; D004219:District of Columbia; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D013223:Statistics as Topic; D013995:Time; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000209:etiology* / Q000401:mortality