Which local complication at the PCI incision site is commonly monitored?

• A. Hematoma at the incision site
• B. Infection at the incision site
• C. Nerve injury
• D. Allergic reaction

Answer: (A)

The main concept is monitoring for bleeding into the tissue at the catheter access site after PCI. The most common local complication is a hematoma forming from the puncture site, especially since antiplatelet and anticoagulant medications used during the procedure raise bleeding risk. Ongoing checks focus on the access area for swelling, tenderness, and bruising, as well as ensuring distal limb perfusion remains normal (checking pulses and color/cap refill). If the hematoma expands, if pain worsens, or if there are signs of impaired blood flow, prompt evaluation and intervention are needed. While infection, nerve injury, or an allergic reaction to contrast can occur, they are less common at the incision site compared with hematoma formation.