Vascular access and cardiac complications after PCI : in- and out-of-hospital outcome issues

Higgins, Monica, Theobald, Karen A., & Peters, Jaime (2008) Vascular access and cardiac complications after PCI : in- and out-of-hospital outcome issues. British Journal of Cardiac Nursing, 3(3), pp. 111-116.


Background: Despite the rapid increase in percutaneous coronary intervention (PCI) rates, vascular complications remain a possible source of impaired outcomes for patients. Moreover, management of complications is an integral part of cardiac nurses’ roles and responsibilities. Aim: The aim of this quality review was to highlight the in-hospital and out-of-hospital complications up to 12 months post-discharge following PCI.----- Methods and Results: A review of prospectively-collected data from the Angioplasty Database run by the research institute of 1089 consecutive patients who had PCI procedures from 1 January 2005–31 December 2006 was conducted. The in-hospital vascular complications included bleeding/ooze only (22.4%) and haematoma only (7.1%). The in-hospital cardiac outcomes included one death (0.09%) following PCI. In addition, a sample of 525 (52%) patients were followed up at 1 month and 12 months post-procedure. Vascular complications were 2.5% and 4% respectively. Cardiac complications included repeat angiogram (9.7%) and repeat PCI (3.6%).----- Conclusions: Vascular outcomes pose ongoing problems for patients both in and out of hospital. The results suggest that cardiac nurses need to further improve monitoring of their patient outcomes following PCI.

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ID Code: 18408
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Coronary angioplasty, Percutaneous coronary intervention, Heart catheterization, Vascular access complications, Discharge follow-up
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Past > QUT Faculties & Divisions > Faculty of Science and Technology
Past > Schools > Mathematical Sciences
Current > Schools > School of Nursing
Copyright Owner: Copyright 2008 MA Healthcare Ltd
Deposited On: 24 Apr 2009 00:02
Last Modified: 29 Feb 2012 13:46

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