Clinical & Experimental Cardiology
Open Access

Abstract

Predictors of Procedural Complications in Coronary Interventions and their Impact on Prognosis: Mini Review

Marek M. Rogowski*

Coronary interventions have become an integral part of the modern treatment of patients with coronary artery disease. Due to their invasive nature however, these interventions carry a potential risk of certain procedural complications such as coronary perforation, dissection, no reflow phenomenon, or even myocardial infarction. The occurrence of any complication may influence the immediate procedural result and the short/long-term morbidity and mortality. Over the last four decades, potential predictors of these complications have been identified. Despite the fact that several risk score models have been suggested, no single risk model has ever been significantly validated in large cohorts.

Coronary perforation increases substantially the mortality and MACE rate, in both acute and chronic cases. Typical risk factors include female sex, advanced age and aggressive high-pressure balloon inflation. No reflow is usually associated with advanced age, arterial hypertension, smoking, dyslipidemia, and renal failure. Among predictors of coronary dissection, factors such as female gender, multivessel disease, and complex coronary anatomy with proximal tortuosity and longer lesions, have been identified as potential risk factors. All these complications can lead to procedural myocardial infarction with negative impact on patients’ outcomes.

Published Date: 2023-09-04; Received Date: 2023-08-03