Complications after percutaneous transluminal coronary angioplasty and associated factors

Gabriela Lucas  Cardoso; Márcia Marques dos Santos  Felix; Maria Beatriz Guimarães Raponi; Fernando De Martino; Patrícia da Silva Pires; Maria Helena Barbosa

doi:10.14393/BJ-v39n0a2023-65928

Authors

Gabriela Lucas Cardoso Universidade Federal do Triângulo Mineiro
Márcia Marques dos Santos Felix Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0001-8431-6712
Maria Beatriz Guimarães Raponi Universidade Federal de Uberlândia https://orcid.org/0000-0003-4487-9232
Fernando De Martino Universidade Federal do Triângulo Mineiro
Patrícia da Silva Pires Universidade Federal da Bahia https://orcid.org/0000-0002-2537-3909
Maria Helena Barbosa Universidade Federal do Triângulo Mineiro

DOI:

https://doi.org/10.14393/BJ-v39n0a2023-65928

Keywords:

Nursing, Nursing Care, Percutaneous Coronary Intervention, Postoperative Complications, Risk Factors.

Abstract

This study aimed to analyze the incidence of vascular complications and associated factors in patients undergoing elective percutaneous transluminal coronary angioplasty. This study is observational, quantitative, and longitudinal, and followed 50 patients undergoing elective percutaneous transluminal coronary angioplasty. An instrument for the sociodemographic, clinical, procedure, and vascular complications characterization was used for data collection. And descriptive statistics, bivariate analysis, and multiple binomial logistic regression were used for data analysis. The level of statistical significance considered was 95%. It was detected the prevalence of male patients (70%), elderly (54%), and diagnosed with systemic arterial hypertension (72%). As for the percutaneous access route prevailed the radial approach (64%). Age and body mass index were identified as possible risk factors for vascular complications. In the 50 procedures performed, there was a prevalence of hematomas (20%) and bleeding (10%). Among the complications prevailed radial Early Discharge After Transradial Stenting of Coronary (60%), large femoral hematoma (20%), small femoral hematoma (20%), and bleeding (Bleeding Academic Research Consortium 2) (100%). The results concluded an elevated incidence of vascular complications in the first 24 hours after elective percutaneous transluminal coronary angioplasty. This study contributes to research, assistance, and training in health and nursing by identifying post-PTCA vascular complications, minimizing their progression, handling their management, and developing health care safety protocols.

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