Prevention and management of interventional complications

Preventing interventional PTCA complications star ts with a precisely planned procedure that lakes into consideration the possible pitfalls for each case, choice of materials, including alternatives for guiding catheters, wires, balloons, stents, and the possibility of emergency surgery. Beginners should have enough experience with diagnostic procedures and should start with type A lesions. The overall low rate of severe complications, despite the greater number of complex lesions, is based on the increasing worldwide individual and institutional PTCA experience. Therefore, even high risk PTCA procedures can be carried out with acceptable good results, but should be performed by the most experienced colleague available. This is the best prerequisite for the management of complications.