PCI complications: access site complications

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Vascular access site complications are common during cardiac catheterization and PCI, and local bleeding (a local hematoma formation) is the most common one. A thoughtful and systematic approach to the catheterization procedure decreases problems of access.

Access Site Complications

An old cathlab saying, Take time to evaluate and do it right the first time, should always be remembered.

Complications for vascular access can be divided into acute (during the insertion period or shortly after) or long term. Operators should have a thorough knowledge of the anatomy and of the potential complications from the procedure to identify and quickly treat any complications that may arise. Access through synthetic peripheral vascular grafts should be avoided if possible.

The femoral artery approach is the most frequent site of vascular access during invasive cardiac procedures. Possible vascular access routes are as follow:

Arterial

Venous

Patients at High Risk for Access Site Complications

Possible Complications


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