[Local vascular complications in patients with acute myocardial infarct treated with direct percutaneous coronary intervention].
OBJECTIVE
We assessed the rate and identified risk factors for postprocedure vascular complications following direct percutaneous intervention (dPCI).


METHODS
Data were collected on 881 consecutive patients who underwent dPCI in our cath-lab from January 2002 to December 2003. Multivariate regression was used to identify characteristics associated with vascular complications.


RESULTS
Out of 881 patients, hematoma was found in 148 (16.8%) cases. Pseudoaneurysm was detected by ultrasound in 40 (4.5%) patients, 5 (0.6%) patients underwent surgery. Variables associated with increased risk included age, female sex, low body mass index (BMI) and body surface area (BSA) and presence of diabetes mellitus.


CONCLUSIONS
Predicting the risk of post-PCI vascular complications is feasible. This information may be useful for clinical decision-making and institutional efforts at quality improvement.
Orban
M
M
I. interní kardioangiologická klinika Lékarské fakulty MU a FN u sv. Anny, Brno. maor@post.cz
Hlinomaz
O
O
Lehár
F
F
Rezek
M
M
Eisenberger
M
M
Konecný
Z
Z
Groch
L
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*