TY - JOUR
T1 - International percutaneous coronary intervention complication survey
AU - Simsek, Bahadir
AU - Kostantinis, Spyridon
AU - Karacsonyi, Judit
AU - Hall, Allison
AU - Rangan, Bavana V.
AU - Croce, Kevin J.
AU - Azzalini, Lorenzo
AU - McEntegart, Margaret
AU - Shishehbor, Mehdi
AU - Egred, Mohaned
AU - Mastrodemos, Olga C.
AU - Sorajja, Paul
AU - Banerjee, Subhash
AU - Lombardi, William
AU - Sandoval, Yader
AU - Brilakis, Emmanouil S.
N1 - Publisher Copyright:
© 2022 Wiley Periodicals LLC.
PY - 2022/5/1
Y1 - 2022/5/1
N2 - Objectives: To investigate the perceptions of interventional cardiologists (IC) regarding the frequency, impact, and management strategies of percutaneous coronary intervention (PCI) complications. Background: The perceptions and management strategies of ICs of PCI complications have received limited study. Methods: Online survey on PCI complications: 46 questions were distributed via email lists and Twitter to ICs. Results: Of 11,663 contacts, 821 responded (7% response rate): 60% were from the United States and the median age was 46–50 years. Annual PCI case numbers were <100 (26%), 100–199 (37%), 200–299 (21%), and ≥300 (16%); 42% do not perform structural interventions, others reported performing <40 (30%), or >100 (11%) structural cases annually. On a scale of 0–10, participating ICs were highly concerned about potential complications with a median score of 7.2 (interquartile range: 5.0–8.7). The most feared complication was death (39%), followed by coronary perforation (26%) and stroke (9%). Covered stents were never deployed by 21%, and 32% deployed at least one during the past year; 79% have never used fat to seal perforations; 64% have never used coils for perforations. Complications were attributed to higher patient/angiographic complexity by 68% and seen as opportunities for improvement by 70%; 97% of participants were interested in learning more about the management of PCI complications. The most useful learning methods were meetings (66%), webinars (48%), YouTube (32%), and Twitter (29%). Conclusion: ICs who participated in the survey are highly concerned about complications. Following complication management algorithms and having access to more experienced operators might alleviate stress and optimize patient outcomes.
AB - Objectives: To investigate the perceptions of interventional cardiologists (IC) regarding the frequency, impact, and management strategies of percutaneous coronary intervention (PCI) complications. Background: The perceptions and management strategies of ICs of PCI complications have received limited study. Methods: Online survey on PCI complications: 46 questions were distributed via email lists and Twitter to ICs. Results: Of 11,663 contacts, 821 responded (7% response rate): 60% were from the United States and the median age was 46–50 years. Annual PCI case numbers were <100 (26%), 100–199 (37%), 200–299 (21%), and ≥300 (16%); 42% do not perform structural interventions, others reported performing <40 (30%), or >100 (11%) structural cases annually. On a scale of 0–10, participating ICs were highly concerned about potential complications with a median score of 7.2 (interquartile range: 5.0–8.7). The most feared complication was death (39%), followed by coronary perforation (26%) and stroke (9%). Covered stents were never deployed by 21%, and 32% deployed at least one during the past year; 79% have never used fat to seal perforations; 64% have never used coils for perforations. Complications were attributed to higher patient/angiographic complexity by 68% and seen as opportunities for improvement by 70%; 97% of participants were interested in learning more about the management of PCI complications. The most useful learning methods were meetings (66%), webinars (48%), YouTube (32%), and Twitter (29%). Conclusion: ICs who participated in the survey are highly concerned about complications. Following complication management algorithms and having access to more experienced operators might alleviate stress and optimize patient outcomes.
KW - complications
KW - coronary angiogram
KW - interventional cardiology
KW - percutaneous coronary intervention
KW - survey
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U2 - 10.1002/ccd.30173
DO - 10.1002/ccd.30173
M3 - Article
C2 - 35349771
AN - SCOPUS:85127337597
SN - 1522-1946
VL - 99
SP - 1733
EP - 1740
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 6
ER -