Access site complications

Jose M. Wiley, Fernando Pastor, Cristina Sanina

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Technologic advances in the design of catheters and devices have allowed a more aggressive approach to percutaneous coronary intervention (PCI), which has resulted in an increase in the volume and complexity of procedures. This chapter describes the incidence, predisposing factors, and treatment options for some of the most common non-cardiac complications following PCI. Access site bleeding is the most frequent complication following femoral arterial access. Vascular access dissection contributes to the development of distal extremity ischemia, pseudoaneurysm, or thrombus formation. The diagnosis of retroperitoneal bleeding are confirmed by computed tomography (CT) or abdominal/pelvic ultrasound. Local infection at the site of arterial access occurs in less than 1% of patients following coronary interventional procedures. Transradial access for interventional coronary catheterization is being performed with increasing frequency because hemostasis can be obtained easily by local compression of the superficial course of the radial artery.

Original languageEnglish (US)
Title of host publicationInterventional Cardiology
Subtitle of host publicationPrinciples and Practice
Publisherwiley
Pages267-273
Number of pages7
ISBN (Electronic)9781118983652
ISBN (Print)9781118976036
DOIs
StatePublished - Nov 21 2016

Keywords

  • Abdominal/pelvic ultrasound
  • Access site bleeding
  • Distal extremity ischemia
  • Femoral arterial access
  • Interventional cardiology
  • Interventional coronary catheterization
  • Non-cardiac complications
  • Percutaneous coronary intervention
  • Thrombus formation
  • Vascular access dissection

ASJC Scopus subject areas

  • Medicine(all)

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