After PCI, which complication should clinicians remain vigilant for?

• A. Bleeding at the access site
• B. Seizures
• C. Hair loss
• D. Nasal congestion

Answer: (A)

The key idea is that bleeding from the arterial access site is the most common and urgent complication after PCI. The procedure uses anticoagulants and antiplatelet medications and requires a catheter/ sheath through a major artery (usually femoral or radial). This combination increases the risk of bleeding at the access site, which can present as oozing, a growing hematoma, or more serious issues like a pseudoaneurysm or retroperitoneal bleed. Clinicians monitor for signs such as swelling,Pain, a developing hematoma, hypotension, or a drop in hemoglobin and take steps like applying manual pressure, using a closure device, or delaying mobilization as needed. While seizures, hair loss, and nasal congestion aren't typical post-PCI concerns, bleeding at the access site is the primary vigilance point.