Management of Percutaneous Coronary Intervention Complications: Algorithms from the 2018 and 2019 Seattle Percutaneous Coronary Intervention Complications Conference

Jacob A. Doll, Ravi S. Hira, Kathleen E. Kearney, David E. Kandzari, Robert F. Riley, Steven P. Marso, James A. Grantham, Craig A. Thompson, James M. McCabe, Dimitrios Karmpaliotis, Ajay J. Kirtane, William Lombardi

Research output: Contribution to journalReview article

Abstract

Complications of percutaneous coronary intervention (PCI) may have significant impact on patient survival and healthcare costs. PCI procedural complexity and patient risk are increasing, and operators must be prepared to recognize and treat complications, such as perforations, dissections, hemodynamic collapse, no-reflow, and entrapped equipment. Unfortunately, few resources exist to train operators in PCI complication management. Uncertainty regarding complication management could contribute to the undertreatment of patients with high-complexity coronary disease. We, therefore, coordinated the Learning From Complications: How to Be a Better Interventionalist courses to disseminate the collective experience of high-volume PCI operators with extensive experience in chronic total occlusion and high-risk PCI. From these conferences in 2018 and 2019, we developed algorithms that emphasize early recognition, effective treatment, and team-based care of PCI complications. We think that an algorithmic approach will result in a logical and systematic response to life-threatening complications. This construct may be useful for operators who plan to perform complex PCI procedures.

Original languageEnglish (US)
Article numbere008962
JournalCirculation: Cardiovascular Interventions
DOIs
StateAccepted/In press - 2020
Externally publishedYes

Keywords

  • algorithms
  • hemodynamics
  • percutaneous coronary intervention
  • risk

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Doll, J. A., Hira, R. S., Kearney, K. E., Kandzari, D. E., Riley, R. F., Marso, S. P., Grantham, J. A., Thompson, C. A., McCabe, J. M., Karmpaliotis, D., Kirtane, A. J., & Lombardi, W. (Accepted/In press). Management of Percutaneous Coronary Intervention Complications: Algorithms from the 2018 and 2019 Seattle Percutaneous Coronary Intervention Complications Conference. Circulation: Cardiovascular Interventions, [e008962]. https://doi.org/10.1161/CIRCINTERVENTIONS.120.008962