What should be monitored in a patient after PCI?

• A. Liver function tests
• B. Hematoma at incision site
• C. Vision changes
• D. Hearing loss

Answer: (B)

After PCI, the main focus is on bleeding at the vascular access site. The procedure requires anticoagulants and antiplatelet drugs, which increase the risk of hemorrhage at the puncture site (groin or wrist). Closely monitoring for a hematoma—watching for new swelling, bruising, a lump, increasing tenderness, or rapid expansion at the access site—helps catch bleeding early and prevents complications like impaired blood flow or a retroperitoneal bleed. Regular checks should also include assessing distal limb perfusion and pulses, as well as vital signs for any signs of instability.

Liver function tests, vision changes, and hearing loss are not the immediate post-procedure concerns for PCI and would not be the primary monitoring targets unless there are specific symptoms or complications suggesting otherwise.