L. Brogiene, G. Baksyte, A. Klimaite*, M. Paliokas and A. Macas
Background: Post procedural pain is underestimated problem that usually is overlooked. In this study the focus is on prevalence of access-site pain and complications after Percutaneous Coronary Intervention (PCI) via radial artery access.
Material and methods: The data (demographic and periprocedural) of selected patients (n=161) 60.9% males and 39.1% females, who underwent elective PCI were collected prospectively and analysed in 2019. Verbal analogue scales were used to evaluate pain intensity after 2, 12, 24, 48 hours, 1 and 3 months after PCI.
Results: Access-site pain during the PCI procedure occurred in 29.8%. In 17.4% of cases moderate pain was persisting immediately after the procedure (p<0.05).
After 2, 12, 24, 48 hours pain was felt accordingly in 54%, 38.5%, 16.8%, 10.6% cases and it was moderate (p<0.05). 1 week and 1 month after the PCI procedure 7.5% of patients felt strong site pain. Chronic pain developed in 3.7% of patient and it was moderate. Compilations were arterial bleeding (9.3%), hematoma (26.7%), hand swelling (66.5%) and neuropathy (6.32%).
Conclusion: During 3-month period of time after PCI most patients experienced moderate pain. Despite that the access-site pain intensity was decreasing, post-procedural acute pain developed. Chronic pain developed in 3.7% of patients after PCI. Most common site complications were hematoma, arterial bleeding and hand swelling.
Published Date: 2024-07-19; Received Date: 2019-12-06
