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Complications of Percutaneous Coronary Intervention

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PanVascular Medicine

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Abstract

Improvements in devices and personal experience, the use of stents, and aggressive antiplatelet therapy have significantly reduced the incidence of major periprocedural complications PCI related over the past 15–20 years. Information drawn from almost 30 years of experience allows us to estimate the risk of complications according to patient and lesion characteristics; therefore, every physician needs to consider if the risk to benefit ratio of the planned procedure is appropriate on the basis of these data before performing any intervention. Complications that occur during PCI can be generally divided into three main groups: (A) cardiac-related complications, (B) vascular access-site-related complications, and (C) other complications (e.g., cholesterol embolism, contrast-induced nephropathy, thrombocytopenia, etc.).

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Abbreviations

ACS:

Acute coronary syndrome

ACT:

Activated clotting time

CABG:

Coronary artery bypass surgery

GP:

Glycoprotein

IABP:

Intra-aortic balloon pump

MB:

Main branch

PCI:

Percutaneous coronary intervention

PTFE:

Polytetrafluoroethylene

SB:

Side branch

TIMI:

Thrombolysis in myocardial infarction

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Authors and Affiliations

  1. Cardiotoracic-Vascular Department, Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy

    Cosmo Godino M.D. & Antonio Colombo

  2. EMO GVM Centro Cuore Columbus, Milan, Italy

    Antonio Colombo

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  1. Cosmo Godino M.D.
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  2. Antonio Colombo
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Correspondence to Cosmo Godino M.D. .

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  1. Akademisches Lehrkrankenhaus MLU, Bitterfeld-Wolfen, Germany

    Peter Lanzer

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Godino, C., Colombo, A. (2014). Complications of Percutaneous Coronary Intervention. In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37393-0_78-1

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