Original Research Article
Year: 2019 | Month: April-March | Volume: 4 | Issue: 2 | Pages: 121-127
Post-Coronary Angiography Vascular Complications in Acute Coronary Syndrome Patients
Bashaer Basunaid1,3, Shahad Alaydarous1,3, Amal Taha1,3, Abdulrhman Norah1,3 ,Issam Altnji2,3 , Mohammed A. Qutub2,3.
1Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia, house officer
2Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. , Assistant professor
3King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Corresponding Author: Mohammed A. Qutub
ABSTRACT
Objectives: To determine the prevalence of vascular complications and major adverse cardiovascular after effects in acute coronary syndrome patients who had coronary angiography at King Abdulaziz University Hospital.
Methods: Using a prospectively collected registry from January 2016 to December 2017, we analyzed the prevalence of vascular complications in 1053acute coronary syndrome patients who had coronary angiography. Patients were allocated into 2categoriesbased on the presence or absence of vascular complications.
Results: Amongst acute coronary syndrome patients who had coronary angiography, we identified 39 (3.7%) patients who had at least 1 vascular complication. The mean age of patients was 55.5±10.2 years and the patients were mostly male (87.20%). The identified vascular complications included bleeding (5 patients had major bleeding and 34 had minor bleeding), access site hematoma (27 patients), and pseudo-aneurysm (2 patients). Lesser post-procedural bleeding was observed in the trans-radial than in the femoral approach (1.4 versus 4.3%, p=0.025). Similar mortality was noted on 1-month follow-up in both groups (0 versus 0.3%, p=0.44). The occurrence of myocardial infarction and repeat catheterization was also close in both groups (0 versus 0.4%, p=0.45 and 0 versus 2%, p=0.4, respectively). Readmission with congestive heart failure was higher in patients who developed vascular complications (5.1% versus 0.8%, p=0.003).
Conclusion:Vascular complications are relatively uncommon in acute coronary syndrome patients having coronary angiography. Fewer complications were associated with the trans-radial approach in contrast to the trans-femoral approach. Patients who developed vascular complications showed increased readmission rates due to heart failure.
Keywords: coronary artery disease, cardiac catheterization, cardiovascular diseases, acute coronary syndrome, vascular complications, percutaneous coronary intervention