Vascular complications in patients who underwent endovascular cardiac procedures: multicenter cohort study.
Angelita Costanzi Paganin, Mariur Gomes Beghetto, Maria Karolina Feijó and 3 others
PMID 30328978WHAT IT FOUND
Among 2,696 patients after endovascular cardiac procedures, 237 had vascular complications, mostly minor hematoma and stable bleeding; almost all appeared within six hours, and no pseudoaneurysm, retroperitoneal hematoma, or fistula occurred.
Key findings
01237 of 2,696 patients (8.8%) had a vascular complication, and 264 complication events were counted (9.8%), mostly minor hematoma and stable bleeding.
02Most complications appeared early: 97.3% of major and 96.8% of minor vascular complications occurred within the first six hours after the procedure.
03No retroperitoneal hematoma, pseudoaneurysm, or arteriovenous fistula occurred.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This was a convenience cohort, not a randomised trial, so it describes what happened rather than testing whether care changes complications. Patients were assessed only during the hospital stay, up to discharge or 48 hours, and there was no follow-up after discharge. Not all patients were reassessed after the first six hours, so later complications may have been missed. Missing data led to different patient counts for some complication types. The study included only cardiac endovascular procedures, not other procedures done in hemodynamics laboratories.
The easy way to misread this
Do not conclude that post-procedure monitoring can stop after the early recovery period. The study found most complications early, but it did not follow patients after hospital discharge, so later problems are not ruled out.