Association Between Bleeding Events and In-hospital Mortality After Percutaneous Coronary Intervention

Abstract

Bleeding represents the most common noncardiac complication of percutaneous coronary intervention (PCI). Postprocedural bleeding is associated with short- and long-term death, nonfatal myocardial infarction, stroke, blood transfusion, prolonged hospital stay, rehospitalization, and increased hospital costs.^1-4 Post-PCI bleeding is predictable, using tools such as the bleeding risk algorithm derived from the CathPCI Registry.⁵ Bleeding risk is modifiable through the use of established bleeding avoidance strategies such as bivalirudin anticoagulation, arterial closure devices, and radial artery access.^6-10