Site pain after percutaneous coronary intervention

Abstract

Aim of Investigations: Today's "golden standard" method to perform percutaneous coronary intervention (PCI) is trans radial (TR) because of it's lower complications frequency comparing to transfemoral (TF) approach. Most of the studies about access-site complications analyses vascular complications (hematoma, arterial bleeding). In this study the focus is on access-site pain after PCI manifestation comparing TR and TF approaches. Methods: The Data of randomly selected patients who underwent elective PCI using TR or TF approach in Hospital of Lithuanian University of Health Sciences Kaunas Clinics Cardiology department in 2015 was collected. Data analysis was performed in 2018. Patients were questioned according to survey made by authors. Verbal analogue scales were used to evaluate pain intensity (no pain, mild pain, moderate, severe pain, very severe pain and worst possible pain) 24, 48 hours, 1 and 3 months after PCI. Pain manifestation groups are: acute postoperative pain (during first 48 hours after PCI; APoP), acute prolonged pain (pain more than 48 hours, less than 3 months after PCI; APrP), chronic pain (more than 3 months after PCI; CP). Statistical data analysis was performed with SPSS 23.0 (p<0.05). Results: APoP manifested for 67 (44.7%) out of 150 patients with TR access and for 12 (29.3%) out of 41 patients with TF access. In TR access group most common pain was dull (76.9%) and mild (38.5%), in TF – prickling (60%) and moderate (40%) or severe (40%). APrP manifested for 8 (8.7%) out of 92 followed-up patients with TR access, for 6 (24%) out of 25 followed-up patients with TF access. In TR access group most common pain was dull (75%) and moderate (37.5%) or severe (37.5%), in TF – dull (50%) or prickling (50%) and moderate (50%). CP manifested for 3 (3.3%) out of 92 followed-up patients with TR access, for 2 (8%) out of 25 followed-up patients with TF access. In TR access group most common p. [...].