Author + information
- Bjorn Redfors,
- Brendan M. Watson,
- Thomas McAndrew,
- Emilie Palisaitis,
- Dominic Francese,
- Mehdi Razavi,
- Jordan Safirstein,
- Roxana Mehran,
- Ajay Kirtane and
- Philippe Genereux
Background: Bleeding complications after percutaneous intervention involving large-bore catheters are frequent and associated with high mortality and morbidity. We sought to describe the incidence of bleeding complications among pts undergoing contemporary endovascular interventions involving large-bore catheters and its association with in-hospital mortality, length of stay, and health care costs.
Methods: We included 17,672 pts from the National Inpatient Sample database who underwent transcatheter aortic valve replacement (n=3,223) or endovascular aneurysm repair (n=12,633), or underwent implantation of a percutaneous left ventricular assist device (n=1,816) between 2012 and 2013. The adjusted association between bleeding complications and mortality were determined by multivariable logistic regression. Length of stay and total health care costs were compared between patients who did and did not have bleeding complications using multivariable linear regression.
Results: Bleeding complications occurred in 3,128 pts (17.7%). Bleeding was associated with higher mortality, longer hospital stay, and greater total health care costs. The impact of bleeding complications increased with the number of transfusions received (Table).
Conclusions: Periprocedural bleeding was common among pts who underwent contemporary transcatheter intervention involving large-bore catheters and was associated with a significant increase in mortality, length of stay, and costs.
Poster Hall, Hall C
Saturday, March 18, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Vascular Access and Hemostasis Issues
Abstract Category: 26. Interventional Cardiology: Vascular Access and Complications
Presentation Number: 1192-127
- 2017 American College of Cardiology Foundation