Post Cardiac Catheterization Complications
Access site complications
 • Hematoma - Pain, swelling, bruising
 • Retroperitoneal bleed - Lower abdominal, back, or flank pain, hypotension, tachycardia
 • Pseudoaneurysm - Pain, swelling, pulsatile mass with bruit
 • AV fistula - Pain, swelling, bruit, palpable thrill
 • Thrombosis or embolism - Limb pain, pallor, paresthesia, pulselessness
Systemic complications
 • Vasovagal response - Hypotension, bradycardia, presyncope
 • MI - Chest pain, diaphoresis
 • Cardiac tamponade - Chest pain, dyspnea, hypotension, elevated JVD
 • Stroke - Neurologic change
 • Allergic reaction/anaphylaxis - Dyspnea, wheezing, rash, airway edema, hypotension
 • Contrast induced nephropathy - Rise in Cr 48-72h post contrast

by Dr. Khurrum Khan @KhurrumKhanMD

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