Complicações da intervenção coronária percutânea: uma revisão integrativa

Abstract

Percutaneous Coronary Intervention (ICP) is a mechanical technique used to treat acute myocardial infarction (IAM). Although morbidity and mortality rates are low, they may occur in the trans and postoperative period. The objective of this study was to identify the main complications of PCI in Brazilian scientific literature. This is an integrative review carried out in the BVS, Scielo and Portal Capes databases. The PICO strategy was used to formulate the research question. The search resulted in 7 articles that addressed aspects of vascular complications and renal dysfunction. Some risk factors are cited as determinants for the development of hemorrhagic complications such as female sex, advanced age and obesity. Venous hydration is recommended in the prevention of contrast-induced nephropathy (NIC). Radial access is recommended for patients at risk of bleeding as long as operators are familiar with the technique and thrombin injection is indicated as safe and effective in the treatment of pseudoaneurysm. Nursing plays a major role in the prevention of complications and in post-procedure care.