Supervisors info:
Κωνσταντίνος Τούτουζας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ελένη Κυρίτση, Καθηγήτρια, Νοσηλευτική, ΠΑΔΑ
Δημήτριος Τόσουλης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Summary:
Introduction: Coronary disease is one of themost frequent causes of death worldwide. Coronary angiography is the golden standard method for diagnosis and classification, while percutaneous coronary intervention is constantly increasing with few complications.
Purpose: The purpose of the study is to examine the incidence of complications due to coronary angiography/percutaneous coronary intervention.
Methods: Patients with acute chest pain and indications for coronary angiography were enrolled. Body mas index, arterial hypertension, dyslipidaemia, diabetes mellitus, chronic renal disease and coronary disease were examined as risk factors. The performance of intervention, the intervention type, the location of the vessel lesions and the incidence of complications were reported.
Results: A total of 252 patients were included. 78.96% were male. The mean age was 63.48 years. 159 (61.2%) patients had acute coronary syndromes. The access site in 83.4% was the radial artery. Intervention was performed in 131 (50.4%) patients. A total of 24 (9.5%) complications were observed. The most frequent complications were those with diabetes mellitus, p=0.041; patients taking heparin, p<0.001; those taking loading, p<0.001; patients with right coronary artery damage, p=0.003, those whose access vessel was the femoral artery, p=0.008, patients who underwent angioplasty, p<0.001, and older subjects (68.9 vs 62.9), p=0.015.
Conclusions: A low rate of complictions was noted in our centre, in accordance with literature data. Traditional risk factors for coronary disease are associated with the location of the angiographic lesions. They are also associated with the incidence of complications, The main factor, however, is the access site, with the transradial approach showing more favourable results.
Keywords:
Operation, Cardiology, Complications, Coronary angiography, Angioplasty
