1550, either, cat. 58
IMPACT OF RISK FACTORS ON VASCULAR COMPLICATIONS AFTER
PRECUTANEOUS CORONARY INTERVENTIONS IN SHAHEED RAJAEE
HEART CENTER
A.A. Yusefi1, H. Farshidi2, M. Madani1, F. Shakeryan1, H.R. Sanati1, A. Firoozi1,
N. Salehi1
1
Iran University, Tehran, 2Hormozgan University, Bandar Abbass, Hormozgan, Iran,
Introduction: Vascular complications (VC) are of the most common complications
seen in patients undergone cardiac interventional procedures. Incidence of VC in PCIs
have been reported from 2.6% to 6.6%. This study was designed to determine
correlations of important risk factors with VC.
Method: Demographic data, CAD risk factors, sheath size, serum creatinine level, LV
function and VC were recorded. Hemostasis was maintained with manual
compression. Radial access (RA) was used as an alternative route. for statistical
analysis SPSS 18 were used and P value <0.05 was considered statistically significant.
Results: Of 2097 cases 553 were female Average age was 57 years, mean systolic BP
132 mmHg, mean weight 75kg and mean BMI was 26.7. A total of 21 VC were seen
in 19 patients (1%). Most common complication was hematoma (0.5%) and the
second common complication was pseudoaneurysma (0.2%). Retroperitoneal
bleeding, blood transfusion A-V Fistula were seen in 0.1%. In 56 patients (2.7%) PCI
was done via radial access (RA) without any VC. No correlation was seen between
VC and sheath size, creatinine level, LV function, number of involved coronary
arteries and presentation of the patient. Gender, weight, use of GP IIb/IIIa and
hypertension were significantly correlated with VC.
Conclusion: Predicting the risk of VC is feasible post PCI. Prominent risk factors of
VC were female sex, lower weight, GP IIb/IIIa use and hypertension. RA for PCI
seems to be a safe alternative method.