Complications of Percutaneous Coronary Artery Intervention

  • Kirk N. Garratt
  • David R. HolmesJr.


Interventional cardiology encompasses an increasingly large number of patient and lesion subsets. Despite this factor, major complications of percutaneous coronary angioplasty (PCA) have gradually decreased. Data from large institutions published in 1988 [1] reveal that the absolute risk of serious adverse events was already low (Fig. 13–1), so producing risk reductions was not an easy task. This reduction has been the result largely of a dramatic fall in the need for emergency or urgent coronary bypass graft surgery (from between 3% and 5% to about 0.5%) to treat acute or threatened closure after conventional balloon angioplasty [2,3]. Because acute or threatened closure was the most common major complication of intervention, substantial efforts were made to study the risk factors associated with it (Fig. 13–2). Some of these risk factors were demographic, whereas others were procedural [4,5]. With the widespread use of stent implantation (70% to 90% of patients undergoing PCA in North America and Europe), many of these factors may no longer be relevant.


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© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Kirk N. Garratt
  • David R. HolmesJr.

There are no affiliations available

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