Unit:
Library of the School of Health SciencesΚατεύθυνση Μονάδες Εντατικής Θεραπείας-Καρδιολογία, Ιατρική και Νοσηλευτική Φροντίδα
Author:
Mpousiouti Theodora
Supervisors info:
Κυρίτση Ελένη, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Τούσουλης Δημήτριος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Τούτουζας Κωνσταντίνος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Διερεύνηση του είδους και της συχνότητας εμφάνισης συμβαμάτων μετά τη διενέργεια στεφανιογραφίας - αγγειοπλαστικής
Translated title:
Investigation of the type and incidence of complications after coronary angiography - angioplasty
Summary:
Introduction: Coronary angiography and cardiac catheterization are
invaluable tests for the detection and quantification of coronary artery disease,
identification of valvular and other structural abnormalities, and measurement of
hemodynamic parameters. The risks and complications associated with these
procedures are related to the patient's concomitant conditions and to the skill and
judgment of the operator.
Aim: The aim of this study was to investigate the type and incidence of
adverse events after coronary angiography-angioplasty
Material and method: the sample of the study consisted of 255 subjects who
underwent coronary angiography and/or angioplasty at the Cardiology Unit of the
"G.N.N. IONIAS CONSTANTOPOULIO - PATISIOΝ"
Results: The largest percentage 78.8% were men and in 50.2% of the
sample the examination was scheduled while 49.8% had undergone an OEM.
Existence of another disease was reported by 89.8% with 65.1% reporting
dyslipidemia. Pure lesion in 27.1% was in the anterior cathion and in 36.8% in the
circumflex. The remaining percentage had damage to two or more vessels.
Regarding complications, puncture failure was observed in 12.9%. Death was
observed in 4 subjects within 1 to 8 hours after surgery. Acute myocardial infarction
was observed in 6 subjects of which 3 subjects during the examination and 3 one to
8 hours after the procedure. Bagatonias were observed in 31.4% of the sample of
which 93.8% were during the examination and 6.3% 1 to 8 hours after. Arrhythmia
was observed in 29.9% where atrial fibrillation was observed in 28.9%, ventricular
tachycardia in 30.3% and supraventricular tachycardia in 23.7% and in majority of
them arrhythmias were observed in 89.5% during the examination. Haematoma was
observed in 7.8% of the sample and vessel thrombosis in 1.2%. Hematoma was
more frequently observed in women (p<0.001) and in the same group a vessel
spasm was observed (p=0.001). In the infarcted patients a failure of puncture was
observed with a marginally statistically significant difference (p=0.064). Also,
arrhythmias (p<0.001) as well as vasospasm (p=0.011) and infection/fever
(p=0.024) were observed in the same group. In smokers, puncture failure (p=0.049),
ventricular tachycardia (p=0.023) and vasospasm (p=0.042) were observed more
frequently.
Conclusions: For complications during coronary angioplasty coronary
angiography are primarily related to the patient himself, in addition to gender and
comorbidity, and the presence of OEM
Main subject category:
Health Sciences
Keywords:
Cardiology, Coronary Angiography, Angioplasty, Complications, Investigation
