PROCEDURAL SUCCESS AND IN HOSPITAL COMPLICATION OF MULTIPLE VESSEL CORONARY ANGIOPLASTY/STENTING

Original Article

Abstract

Background: The Multivessel coronary artery disease is associated with increased morbidity and mortality. Percutaneous coronary intervention (PCI) is widely used to improve clinical outcomes; however, procedural success and in-hospital complications remain important concerns, particularly in high-risk patients.

Objective: To evaluate procedural success rates and in-hospital complications of multivessel coronary angioplasty/stenting and to identify associated risk factors.

Study Design: Descriptive cross-sectional study.

Place and Duration of Study: Department of Cardiology, Bolan Medical Complex Hospital and Sandeman Provincial Hospital, Quetta, from 01 September 2024 to 28 February 2025.

Methodology: A total of 100 patients with multivessel coronary artery disease undergoing percutaneous coronary intervention were included using a non-probability consecutive sampling technique. Demographic and clinical data were recorded. Procedural success and in-hospital complications, including restenosis, myocardial infarction, and bleeding, were documented. Data were analyzed using SPSS version 24.0.

Results: The mean age of patients was 62.5 ± 9.3 years. Procedural success was achieved in 85 (85%) patients. In-hospital complications were observed in 15 (15%) patients, with restenosis (9%), myocardial infarction (4%), and major bleeding (2%). Higher complication rates were observed in elderly patients and those with comorbidities such as diabetes and hypertension.