Vascular complications in patients who underwent endovascular cardiac procedures

multicenter cohort study

Authors

  • Angelita Costanzi Paganin Unimed, Laboratório de Hemodinâmica
  • Mariur Gomes Beghetto Universidade Federal do Rio Grande do Sul, Escola de Enfermagem
  • Maria Karolina Feijó Prefeitura Municipal de Porto Alegre, Secretaria Municipal de Saúde
  • Roselene Matte Hospital de Clínicas de Porto Alegre, Unidade de Hemodinâmica
  • Jaquelini Messer Sauer Instituto de Cardiologia do Rio Grande do Sul
  • Eneida Rejane Rabelo da Silva Universidade Federal do Rio Grande do Sul, Escola de Enfermagem https://orcid.org/0000-0002-4374-4419

DOI:

https://doi.org/10.1590/1518-8345.2672.3060

Keywords:

Cardiac Catheterization, Percutaneous Coronary Intervention, Risk Factors, Complications, Postoperative Complications, Nursing Care

Abstract

Objective: to analyze vascular complications among patients who underwent endovascular cardiac procedures in the hemodynamic laboratories of three referral centers. Method: a multicenter cohort study was conducted in three referral facilities. The sample was composed of 2,696 adult patients who had undergone elective or urgent percutaneous cardiac procedures. The outcomes were vascular complications, such as: hematoma at the site of the arterial puncture; major or minor bleeding; surgical correction for retroperitoneal hemorrhage; pseudoaneurysm; and arteriovenous fistula. Results: 237 (8.8%) of the 2,696 patients presented a vascular complication at the site of the arterial puncture. The total number of vascular complications was 264: minor hematoma<10cm (n=135); stable bleeding (n=86); major hematoma ≥10cm (n=32); and unstable bleeding (n=11). There were no retroperitoneal hematoma events, pseudoaneurysm or arterial venous fistula. Most of the major and minor complications occurred in the first six hours after the procedure. Conclusion: the results concerning the current context of interventional cardiology indicate that the complications predominantly occur in the first six hours after the procedure, considering a 48-hour follow-up. The staff should plan and implement preventive measures immediately after the procedures.

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Published

2019-03-25

Issue

Vol. 26 (2018)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Vascular complications in patients who underwent endovascular cardiac procedures: multicenter cohort study. (2019). Revista Latino-Americana De Enfermagem, 26, e3060. https://doi.org/10.1590/1518-8345.2672.3060