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Complications of Percutaneous coronary intervention #bestcardiologistinperambur #angioinkolathur
Percutaneous Coronary Intervention (PCI) complications, while rare, can include acute vessel closure, coronary perforation, bleeding at access sites, kidney injury from contrast dyes, stroke or arrhythmias
. Although often safe, risks also include late stent thrombosis, in-stent restenosis, and rare equipment entrapment, requiring prompt team recognition and management
Acute Procedural Complications
Vessel Damage: Coronary dissection (tear), rupture, or perforation.
Ischemia/Flow Issues: Abrupt vessel closure, thrombus formation, or "no-reflow" (inadequate blood flow after opening the blockage).
Vascular Access Issues: Bleeding, pseudoaneurysm, or haematoma at the femoral or radial artery site.
Device-Related: Stent dislodgement, loss, or embolization (device moves to the wrong spot).
Systemic Events: Acute kidney injury from contrast dye, stroke, or arrhythmias
Long-Term Complications
Stent Thrombosis: Blood clot formation within the stent (can be early or late), often requiring dual antiplatelet therapy.
In-Stent Restenosis: Re-narrowing of the artery within the stent over time.
Aneurysm Formation: Weakening of the artery wall
Factors Increasing Risk
Complex, long, or heavily calcified lesions.
Chronic Total Occlusions (CTO).
Comorbidities such as diabetes or chronic kidney disease
Management of Complications
Immediate intervention: Medications (e.g., GP IIb/IIIa inhibitors), additional stents, or balloon dilatation.
Pericardiocentesis: To treat cardiac tamponade caused by perforation.
Emergency Surgery: Urgent CABG (coronary artery bypass graft) if PCI complication cannot be managed
Bus Stand, Dr Antony's Cardio Diabetic Centre, 7/158, 15th street, Jagannathan Salai, opposite to Periyar Nagar, Periyar Nagar West, Perambur, Chennai, Tamil Nadu 600082
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Chennai
India
08042781449
Dr Antony's Cardio Diabetic Centre
https://www.drantonyscardiodiabeticcentre.com
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