Abstract 17095: Percutaneous Coronary Intervention Complications: A United States Experience From 2,243,209 procedures Between 2005-2010
Introduction: Significant advances in percutaneous coronary intervention (PCI) technology have occurred over the last 6 years. Contemporary data regarding PCI related complications is lacking.
Methods: We queried the Healthcare Cost and Utilization Project’s Nationwide Inpatient Sample (NIS) between 2005-2010 using the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) procedure code, 36.06 and 36.07 for percutaneous coronary intervention (PCI). All procedures performed in patients >18 years of age were included. The NIS is the largest all payer datasets which represents 20% of all hospitals in the US. All analysis were performed using the designated weighting specified to the NIS data base to minimize bias. Procedural complications were identified using Patient Safety Indicators (PSIs) and ICD-9-CM codes.
Results: A total of 2,243,209 procedures were identified. Complications were reported in 7.4 % of procedures with 1.2 % In-hospital deaths. The most frequent complications reported were vascular complications (2.0 %) and cardiac complications (1.8 %). Other complications reported were respiratory failure (1.6 %), post-operative stroke (1.1 %), infectious complications (0.7 %), post-operative deep vein thrombosis (0.4 %) and renal/metabolic complications (0.2 %).
Conclusion: We report cross-sectional data on PCI complications from the largest all-payer inpatient care database in the United States. The most common complications after PCI’s are cardiac and vascular complications.
- © 2013 by American Heart Association, Inc.