Details

Autor(en) / Beteiligte

• Bhogal, Sukhdeep
• Garg, Mohil
• Meda, Namratha S.
• Merdler, Ilan
• Wermers, Jason P.
• Hashim, Hayder D.
• Ben‐Dor, Itsik
• Waksman, Ron

Titel

Reasons for repeat urgent cardiac procedures within the same day

Ist Teil von

• Catheterization and cardiovascular interventions, 2024-04, Vol.103 (5), p.691-694

Ort / Verlag

United States: Wiley Subscription Services, Inc

Erscheinungsjahr

2024

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Background With advances in technology and technique, the expectations are that patients undergoing procedures in the cardiac catheterization laboratory will not need to return for a repeat procedure within the same day. Objectives Report why subjects undergoing cardiac procedures return urgently to the catheterization laboratory for a repeat procedure during the same day. Methods We retrospectively reviewed patients who were brought back to the cardiac catheterization laboratory within the same day for a repeat procedure. The reasons for index and repeat procedure were identified. Patients who were transferred from an outside center after an initial procedure at other centers were excluded. Results Between November 2013 and January 2022, 55,942 catheterization procedures were performed at our institution, of which 140 entries were included in our analysis. Common reasons for the index procedure were diagnostic angiography (35.0%), percutaneous coronary intervention (PCI, 29.2%), and transcatheter aortic valve replacement (15.0%). The most common reason for bringing these patients back to the cardiac catheterization laboratory within the same day was vascular complications (24.2%), followed by repeat PCI (20.7%), need for hemodynamic support (15.0%), heart team discussion and PCI (10%), and pacemaker implantation (10%). Acute limb ischemia was the most commonly identified vascular complication (7.1%), followed by pseudoaneurysm (5%). Conclusion Our study demonstrates that a very small number of patients underwent repeat procedures within the same day. Special attention should be paid to vascular access and closure and assessment of recurrent chest pain postprocedure, as these are the main reasons for same‐day repeat procedures.